Active NPI
Kathryn M Terry, RD
- Registered Dietitian
- Gloversville, NY
National Provider Identifier
1972842961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007625-1
- Practice address
- 99 E State St
Nutrition Services
Gloversville, NY 12078-1203 - Phone
- (518) 773-5411
- Fax
- (518) 775-4239
- NPI assigned
- Feb 11, 2013
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007625-1 | NY | Primary |
Addresses
Primary practice location
99 E State St
Nutrition Services
Gloversville, NY 12078-1203
Mailing address
99 E State St
Nutrition Services
Gloversville, NY 12078-1203
Phone (518) 773-5411
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007625-1 | NY | MD | Registered Dietitian |
Interoperability endpoints
- kathryn.terry.p1@direct.fallonhealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360540800000",
"number": "1972842961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E STATE ST",
"address_2": "NUTRITION SERVICES",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781203",
"telephone_number": "518-773-5411",
"fax_number": "518-775-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E STATE ST",
"address_2": "NUTRITION SERVICES",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781203",
"telephone_number": "518-773-5411",
"fax_number": "518-775-4239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "KATHRYN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-11",
"last_updated": "2013-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007625-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.