Kathleen Cleary, RD, LDN, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005179 Issued in PA

Practice address

2650 E Huntingdon St
Philadelphia, PA 19125-4023

Phone

(717) 512-4712

NPI assigned

Jun 30, 2015

Last updated

Sep 26, 2019By 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

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1972986636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 E HUNTINGDON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254023",
            "telephone_number": "717-512-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E HUNTINGDON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254023",
            "telephone_number": "717-512-4712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S 54th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-865-9624",
            "fax_number": "215-748-9237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "KATHLEEN",
        "credential": "RD, LDN, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Vision Optical Inc
• Harris Clearfield, MD
• Clearpath S.G. LLC
• Ashley Renee Cleary, PA-C
• Constance Anne Cleary, RN, BSN
• Maureen Lynn Cleary, CRNP
• Anabelle Harari Clebaner, MS, RD
• Nicole A Cleckley, LMFT
• Brianna Clee
• Shannon Clegg, MED, ATC, CES, PES

• Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.