Katherine Barnette, MS, RD
Individual provider Active NPI Registered Dietitian · Anderson, SC
NPI 1992389407 · NPPES record last updated May 11, 2021
Key facts
- NPI
- 1992389407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1816 (SC)
- Practice address
- 1014 Harpers Way
Anderson, SC 29621-3518 - Phone
- (864) 437-3005
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nourish, Inc.
Practice addresses (Care Compare)
3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116003199 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 3678925559 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1816 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current |
Accepting new patients |
Locations
3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1816 | SC | Yes |
Addresses
Primary practice location
1014 Harpers Way
Anderson, SC 29621-3518
Mailing address
1014 Harpers Way
Anderson, SC 29621-3518
Phone (864) 437-3005
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | fullcolornutrition@gmail.com | Direct |
Other providers in Anderson, SC
- Ann Barnes
- Jamie L Barnes
- Kristi Barnes
- Stuart M Barnes
- Harrison Alexander Barnett
- Kathryn Barnette
- Danielle Annice Barnwell
- John Barr
- Anne Barrett
- Christina Barrington
All providers in Anderson, SC · Registered Dietitian in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.