MS. KATHERINE DANIELLE CALHOUN RD, LD
NPI 1417106493
Dietitian, Registered in Wynne, AR

Active since September 15, 2008
1013 BRIDGES AVE EAST, WYNNE, AR 72396(870) 588-5291(866) 695-2818 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Katherine Danielle Calhoun Rd, Ld NPPES

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

MS. KATHERINE DANIELLE CALHOUN RD, LD (NPI 1417106493) is an individual dietitian, registered in Wynne, Arkansas, licensed in Arkansas (1013) and active in the NPI registry since September 2008. She is a graduate of Other (1999).

NPPES Registry Identity

NPI1417106493
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. KATHERINE DANIELLE CALHOUNCredential: RD, LD
Location Address1013 BRIDGES AVE EASTWynne, AR 72396
Mailing Address1013 Bridges Ave EWynne, AR 72396 · (870) 588-5291 · Fax (866) 695-2818
Fax(866) 695-2818
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 15, 2008
Last NPPES UpdateMarch 13, 2017
✔ NPI 1417106493 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 AR · 1013
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.
1013 BRIDGES AVE EAST, Wynne, AR 72396

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Katherine Danielle Calhoun Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456872811
PECOS Enrollment IDI20251127000089

Medicare Billing Reassignments

4

Medicare enrollment records show Katherine Calhoun reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dietitian, Registered
6565 N MACARTHUR BLVD STE 225
Irving, TX 75039
  • Reassigned Medicare billing, Arkansas, Arizona, District of Columbia, Florida, Georgia, Iowa, Idaho, Illinois, Louisiana, Texas, Washington and Wisconsin enrollments
  • Medicare enrollment name: Season Clinical Care PA
  • 33 clinicians in this Medicare group
Dietitian, Registered
6565 N MACARTHUR BLVD STE 225
Irving, TX 75039
  • Reassigned Medicare billing, Arizona, Georgia and Texas enrollments
  • 79 clinicians in this Medicare group
General Practice
317 6TH AVE STE 400
Des Moines, IA 50309
  • Reassigned Medicare billing, Arkansas enrollment
  • 6 clinicians in this Medicare group
Dietitian, Registered
2375 E CAMELBACK RD STE 600
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 44 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Katherine Calhoun's NPI number?

The NPI number for Katherine Calhoun is 1417106493. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Katherine Calhoun located?

Katherine Calhoun practices at 1013 Bridges Ave East, Wynne, AR 72396. The listed phone number is (870) 588-5291.

What is Katherine Calhoun's specialty?

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

Is Katherine Calhoun enrolled in Medicare?

Yes. Katherine Calhoun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Calhoun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Calhoun reassigns Medicare benefits to 4 organizations: Season Clinical Care P.A. (Irving, TX), Surely Health, Inc. (Irving, TX), Openloop Healthcare Partners PC (Des Moines, IA) and Uhling Consulting, LLC (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Calhoun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Calhoun accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Katherine Calhoun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Calhoun was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.