Katherine Marie Keegan, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86115664 Issued in CA

Practice address

200 N Douglas St RM 113
El Segundo, CA 90245-4616

Phone

(310) 653-6736

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katie Keegan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1942920095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 18TH ST",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N DOUGLAS ST RM 113",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454616",
            "telephone_number": "310-653-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86115664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KEEGAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Kazakevich
• Katherine Kazulina
• Matthew Keasberry-Vnuk
• Rajendra Padmakar Kedar, MD
• Nitika Keechilot
• Erica Keimig
• Genesis Kekoa
• Lauren Kelley
• Nicole Kelley
• Lily Kelly

• Registered Dietitian in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.