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MS. CASEY KETTERING RD
NPI 1396374419
Dietitian, Registered in Berkeley, CA

Active since April 02, 2020
2081 CENTER ST, BERKELEY, CA 94704(847) 275-4966 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Casey Kettering Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CASEY KETTERING RD (NPI 1396374419) is an individual dietitian, registered in Berkeley, California, licensed in Illinois (86068041) and active in the NPI registry since April 2020. She maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1396374419
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. CASEY KETTERINGCredential: RD
Location Address2081 CENTER STBerkeley, CA 94704-1204
Mailing Address2081 Center StBerkeley, CA 94704-1204 · (847) 275-4966
Phone(847) 275-4966
Sole ProprietorYes
Enumeration DateApril 2, 2020
NPPES CertifiedApril 2, 2020
✔ NPI 1396374419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 86068041
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2081 CENTER ST, Berkeley, CA 94704
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Secondary Practice Location 1

Location 13477 Paxton AveOakland, CA 94601-3228 · Phone (847) 275-4966

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MENTAL HEALTH & WELLNESS NOW TELEHEALTH, LLC
Psychiatry & Neurology (Psychiatry)
2081 CENTER ST
BERKELEY, CA 94704
Alameda County (650) 605-3622
MAUDISA MAGONA MEROE LCSW
Social Worker (Clinical)
2081 CENTER ST
BERKELEY, CA 94704
Alameda County (323) 705-3656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Kettering's NPI number?

The NPI number for Casey Kettering is 1396374419. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Casey Kettering located?

Casey Kettering practices at 2081 Center St, Berkeley, CA 94704. The listed phone number is (847) 275-4966.

What is Casey Kettering's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Casey Kettering was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.