KATHRYN LYONS EGAN (NPI# 1497319404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497319404 |
| Entity Type | Individual |
| Full Name | KATHRYN LYONS EGAN |
| Credential | RDN |
| Practice Address |
940 Belmont St Brockton MA 02301-5596 |
| Mailing Address |
2930 Ridge Rd Windsor Mill MD 21244-1044 |
| Practice Telephone | 5085834500 |
| Mailing Telephone | 2077066903 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DX4282 | MD | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 2599 | MA | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2930 Ridge Rd, Windsor Mill, MD 212441044 | 2077066903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619598877 | Kathryn Egan | Physical Therapist | 64 Highland Dr, Apalachin, NY 13732-4227 | 2020-04-29 |
| 1467964130 | Kathryn Egan | Speech-Language Pathologist | 219 Knapp Rd, Clarks Summit, PA 18411-2150 | 2017-11-02 |
| 1659823904 | Kathryn Egan | Speech-Language Pathologist | 47 Cedar St Apt 3, Somerville, MA 02143-2240 | 2016-11-02 |
| 1790911014 | Kathryn Rae Egan | Dentist | 1963 Northpoint Blvd, Suite 113, Hixson, TN 37343-4631 | 2009-06-01 |
| 1952880882 | Kathryn Egan | Pharmacist | 511 Central Ave, Billings, MT 59102-5813 | 2018-08-10 |
| 1235650912 | Kathryn Jane Egan | Dentist | 10700 France Ave S Ste 102, Bloomington, MN 55431-3693 | 2017-07-03 |
| 1083094759 | Kathryn Egan | Nurse Practitioner | 959 N Mayfair Rd, Milwaukee, WI 53226 | 2015-06-08 |
| 1467661256 | Kathryn Egan | Psychiatry & Neurology | 1356 Lusitana St Fl 4, Honolulu, HI 96813-2421 | 2007-05-21 |
| 1063584472 | Kathryn Poe Egan | Nurse Practitioner | 991 Medical Park Dr, Ste 301, Maysville, KY 41056-8764 | 2006-11-14 |
| Street Address |
940 BELMONT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779011 | Paul Moitoso | Social Worker | 940 Belmont St, 122 - Bldg 3, A-504a, Brockton, MA 02301-5596 | 2006-02-15 |
| 1255938262 | Matthew Janson | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-02 |
| 1861099020 | Erin A Lawrence | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-01 |
| 1720698442 | Ifeoma Laurietta Ugbo | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-08-06 |
| 1255959961 | Abigail Lauraine Munroe | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5568 | 2020-07-09 |
| 1225653173 | Bryanna Morgan Caron | Optometrist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-16 |
| 1134744675 | Marie Eva Dely | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-10 |
| 1255955142 | Daniel Salazar | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-05 |
| 1982227146 | Amelia Colby Rohan | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-22 |
| 1952923526 | Amy Felicia Jones | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215310669 | Jordan Lynn Boucher | Dietitian, Registered | 110 Liberty St Ste 2a, Brockton, MA 02301-5674 | 2015-07-02 |
| 1487820080 | Patricia Ann Bebo | Dietitian, Registered | 54 Rutland Sq, Suite 2, Brockton, MA 02301-6825 | 2008-05-02 |
| 1902404981 | Sara Louise Borrello | Dietitian, Registered | 110 Liberty St, Brockton, MA 02301-5674 | 2020-10-13 |
| 1952883274 | Sarah Federoff | Dietitian, Registered | 63 Main St, Brockton, MA 02301-4042 | 2018-09-04 |
| 1437699394 | Linda Bang Le | Dietitian, Registered | 63 Main St, Brockton, MA 02301-4042 | 2017-02-27 |
| 1649716895 | Genevieve Hicks | Dietitian, Registered | 63 Main St, Brockton, MA 02301-4042 | 2017-01-12 |
| 1932643863 | Kathryn Morin | Dietitian, Registered | 680 Centre St, Brockton Hospital, Dietitians Office, Brockton, MA 02302-3308 | 2016-12-12 |
| 1083156392 | Jonathan Zangwill | Dietitian, Registered | 680 Centre St, Signature Healthcare Brockton Hospital - Food/nutrition, Brockton, MA 02302-3308 | 2016-11-17 |
| 1831553981 | Amanda Good Heintzelman | Dietitian, Registered | 940 Belmont St, Brockton, MA 02301-5596 | 2016-04-05 |
| 1558721506 | Bethany Lusk | Dietitian, Registered | 189 Quincy St, Brockton, MA 02302-2967 | 2016-03-03 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.