MS. KATHLEEN GERSEK BODKIN RD, LD/N,CDE
NPI 1659463123
Dietitian, Registered in Jacksonville Beach, FL

Q: What is Kathleen Bodkin's NPI number?

The NPI number for Kathleen Bodkin is 1659463123. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Kathleen Bodkin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Bodkin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 29, 2006

1350 13TH AVE S, JACKSONVILLE BEACH, FL 32250(904) 627-2900(904) 376-4925 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kathleen Gersek Bodkin Rd, Ld/n,cde NPPES

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

MS. KATHLEEN GERSEK BODKIN RD, LD/N,CDE (NPI 1659463123) is an individual dietitian, registered in Jacksonville Beach, Florida, licensed in Florida (ND498) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1659463123

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. KATHLEEN GERSEK BODKINCredential: RD, LD/N,CDE

Location Address1350 13TH AVE SJacksonville Beach, FL 32250-3203

Mailing Address3972 Petite Dr WJacksonville, FL 32250-2206 · (904) 223-3586

Phone(904) 627-2900

Fax(904) 376-4925

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659463123 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 FL · ND498

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.

1350 13TH AVE S, Jacksonville Beach, FL 32250

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Other Providers at the Same Location NPPES 20

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

JACKSONVILLE ANESTHESIA CORPORATION INC

Anesthesiology

1350 13TH AVE S
JACKSONVILLE, FL 32250

Duval County (855) 496-3578

SHAUNA TRAVIS RN

Registered Nurse