Kathleen White, MS,RD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

708050 Issued in NJ

Practice address

155 Polifly Rd
Hackensack, NJ 07601-1758

Phone

(201) 441-9970

Fax

(201) 441-9979

NPI assigned

Feb 17, 2015

Last updated

Feb 17, 2015By 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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1982095675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BIRCHWOOD RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522117",
            "telephone_number": "201-441-9970",
            "fax_number": "201-441-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POLIFLY RD",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011758",
            "telephone_number": "201-441-9970",
            "fax_number": "201-441-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "MS,RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NJ",
            "license": "708050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Jayne Wheaton
• Paige Marie Whelan
• Brianna N White, LSW
• Rebecca Marie Noonan White, MD
• Todd Wickersheim, LSW
• Julia Wickman, MD
• Paul Neil Wiener, P.T.
• Wilbert Yeung LLC

• Pediatric Nutrition Registered Dietitian in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Pediatric Nutrition Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.