Kathryn Kolasa, PHD, LDN, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L000047 Issued in NC

Practice address

101 Heart Drive
Ecu Physicians Family Medicine
Greenville, NC 27834-4300

Phone

(252) 744-4611

Fax

(252) 744-2056

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1992762967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "address_2": "ECU PHYSICIANS FAMILY MEDICINE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HEART DRIVE",
            "address_2": "ECU PHYSICIANS FAMILY MEDICINE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-4611",
            "fax_number": "252-744-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLASA",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "PHD, LDN, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "141R5",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "710000370",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Cisco Koenig, PHARMD
• Michael Robert Koerner, MD
• Matthew William Kohan, M.D.
• Barbara Jean Kohler, MS, CRC, LPC
• Erin Laurette Kokinda, AU.D.
• Ryan Alexander Kollar, DO
• Sreya Kongala, MBBS
• Martin Konopko, R.PH.
• Michael George Konstantinidis, M.D.
• Arthur E Kopelman, MD

• Registered Dietitian in Greenville, NC
• Providers in Greenville, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.