Active NPI
Katherine Brigham, MED RD LDN
- Pediatric Nutrition Registered Dietitian
- Greensboro, NC
National Provider Identifier
1962899468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- L000142
- Practice address
- 801 Green Valley Rd
Greensboro, NC 27408-7021 - Phone
- (336) 832-6588
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | L000142 | NC | Primary |
Addresses
Primary practice location
801 Green Valley Rd
Greensboro, NC 27408-7021
Mailing address
801 Green Valley Rd
Greensboro, NC 27408-7021
Phone (336) 832-6588
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L000142 | NC | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1962899468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 GREEN VALLEY RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087021",
"telephone_number": "336-832-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 GREEN VALLEY RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087021",
"telephone_number": "336-832-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHAM",
"first_name": "KATHERINE",
"credential": "MED RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NC",
"license": "L000142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.