Individual provider Active NPI

Catherine Conrad, R.D.

  • Registered Dietitian
  • Saunderstown, RI
National Provider Identifier
1962706499
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00680 Issued in RI
Practice address
8 Glen Hill Dr
Saunderstown, RI 02874-1918
Phone
(732) 690-0717
NPI assigned
Dec 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 999139 NJ
Registered Dietitian 133V00000X LDN00680 RI Primary

Addresses

Primary practice location

8 Glen Hill Dr
Saunderstown, RI 02874-1918

Mailing address

8 Glen Hill Dr
Saunderstown, RI 02874-1918
Phone (732) 690-0717

Other names 1

  • Catherine Maimone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
999139NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Women & Infants Hospital of Rhode Island Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1962706499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GLEN HILL DR",
            "city": "SAUNDERSTOWN",
            "state": "RI",
            "postal_code": "028741918",
            "telephone_number": "732-690-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GLEN HILL DR",
            "city": "SAUNDERSTOWN",
            "state": "RI",
            "postal_code": "028741918",
            "telephone_number": "732-690-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "CATHERINE",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "999139",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "MAIMONE",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saunderstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.