Individual provider Active NPI

Kathleen A White, R.D.

  • Registered Dietitian
  • Midland, MI
National Provider Identifier
1972830255
Registry record updated Nov 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2121 E Stewart Rd
Midland, MI 48640-8926
Phone
(989) 839-0760
Fax
(989) 486-1459
NPI assigned
Nov 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

2121 E Stewart Rd
Midland, MI 48640-8926

Mailing address

2121 E Stewart Rd
Midland, MI 48640-8926
Phone (989) 839-0760

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

NPI Registry JSON

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

{
    "created_epoch": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257552000000",
    "number": "1972830255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E STEWART RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408926",
            "telephone_number": "989-839-0760",
            "fax_number": "989-486-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E STEWART RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408926",
            "telephone_number": "989-839-0760",
            "fax_number": "989-486-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-07",
        "last_updated": "2009-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2009; 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.