Active NPIIndividual providerSole proprietor

Kathleen A Minihan, RD

Dietitian, Registered in Nantucket, Massachusetts

NPI Number1154905800
Practice location
16 Somerset Ln, Nantucket, MA 02554-2772
Fax
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Last updated
May 10, 2021

Kathleen Anna Minihan is a Dietitian, Registered based in Nantucket, MA. Kathleen Anna Minihan practices in Nantucket, MA and has the professional credentials of RD. The NPI Number for Kathleen Anna Minihan is 1154905800 and holds a License No. 3029 (MA). The current practice location address for Kathleen Anna Minihan is 16 Somerset Ln, Nantucket, MA 02554-2772 and can be reached out via phone at 508-517-4295.

Provider Profile Details

NPI Number
1154905800
Provider Name
Kathleen Anna Minihan
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
16 Somerset Ln, Nantucket, MA 02554-2772
Phone Number
508-517-4295
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2021
Last Update Date
May 10, 2021
Certification Date
May 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Somerset Ln
Nantucket, MA 02554-2772
Zip
02554-2772
Phone Number
508-517-4295
Nantucket, MA 02554Get directions →

Provider Business Mailing Address Details

Address
16 Somerset Ln
Nantucket, MA 02554-2772
City
Nantucket
State
MA
Zip
02554-2772
Phone Number
508-901-9583

License Information

License Number
3029
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen A Minihan, RD?

The NPI number of Kathleen A Minihan, RD is 1154905800. It was assigned on May 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Kathleen A Minihan, RD?

Kathleen A Minihan, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3029.

Where does Kathleen A Minihan, RD practice?

The practice location is 16 Somerset Ln, Nantucket, MA 02554-2772. The office can be reached at 508-517-4295 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154905800 directly on the NPPES registry website.

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