Active NPI
Katharyn Alexandra Williams Spicer, MS, RD, LDN
- Registered Dietitian
- Sanford, NC
National Provider Identifier
1982143699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004995
- Practice address
- 1135 Carthage St
Attn: Alex Spicer, Fans
Sanford, NC 27330-4162 - Phone
- (919) 774-2180
- NPI assigned
- Feb 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | L004995 | NC | Primary |
Addresses
Primary practice location
1135 Carthage St
Attn: Alex Spicer, Fans
Sanford, NC 27330-4162
Mailing address
1135 Carthage St
Attn: Alex Spicer, Fans
Sanford, NC 27330-4162
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004995 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1982143699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 CARTHAGE ST",
"address_2": "ATTN: ALEX SPICER, FANS",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 CARTHAGE ST",
"address_2": "ATTN: ALEX SPICER, FANS",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304162",
"telephone_number": "919-774-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS SPICER",
"first_name": "KATHARYN",
"middle_name": "ALEXANDRA",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.