Katie O'Mara, RD, CLE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1034742 Issued in CA

Practice address

34462 Calle Carmelita
Capistrano Beach, CA 92624-1022

Phone

(916) 955-9429

NPI assigned

May 5, 2016

Last updated

May 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kathryn O'Mara 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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1972959229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34462 CALLE CARMELITA",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241022",
            "telephone_number": "916-955-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34462 CALLE CARMELITA",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241022",
            "telephone_number": "916-955-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "RD, CLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1034742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "O'MARA",
            "prefix": "MRS.",
            "credential": "RD, CLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gerald Bennett Levinson, M.D.
• Riya Malani
• New Method Wellness, Inc.
• New World Performance and Physical Therapy, Inc.
• Nowrx Telehealth, Inc.
• Fahima Paband, FNP-BC
• Pacific Coast Therapy, Inc.
• Pacific Hills Treatment Centers, Inc.
• Peet Chiropractic Health Corporation
• Adriana Peralta

• Registered Dietitian in Capistrano Beach, CA
• Providers in Capistrano Beach, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.