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KATE MIRANDA BOURKE RD
NPI 1750259792
Dietitian, Registered in Eatontown, NJ

Active since October 29, 2025
135 HIGHWAY 35, EATONTOWN, NJ 07724(885) 660-4325(848) 300-2207 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kate Miranda Bourke Rd NPPES

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

KATE MIRANDA BOURKE RD (NPI 1750259792) is an individual dietitian, registered in Eatontown, New Jersey, licensed in New Jersey (86372624) and active in the NPI registry since October 2025. She maintains a secondary practice location in Little Silver and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750259792
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATE MIRANDA BOURKECredential: RD
Location Address135 HIGHWAY 35Eatontown, NJ 07724-1813
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Phone(885) 660-4325
Fax(848) 300-2207
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 29, 2025
Last NPPES UpdateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1750259792 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 NJ · 86372624
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.
135 HIGHWAY 35, Eatontown, NJ 07724
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Secondary Practice Location 1

Location 139 Sycamore AveLittle Silver, NJ 07739-1208 · Phone (732) 784-8478

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kate Miranda Bourke Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446745715
PECOS Enrollment IDI20251223004601

Medicare Billing Reassignment

Medicare enrollment records show Kate Bourke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
3.4 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

Other Providers at the Same Location NPPES 10

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

EMILY ANN HAYDEN DO
Family Medicine
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-5309
HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.
Physical Therapist
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-4911
CHRISTOPHER MICHAEL LESNIAK DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-4924
DR. SHEILA PEREZ-STEELE M.D.
Internal Medicine
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (732) 696-7654
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Pharmacy (Community/Retail Pharmacy)
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-4950
GEANELLA VERA-AVELLAN RDN
Dietitian, Registered
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-4920
DR. MICHAEL JOHN ZIMMER M.D.
Family Medicine
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-5309
ALEXA MARTUCCI SLP
Speech-Language Pathologist
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (855) 660-4325

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 Kate Bourke's NPI number?

The NPI number for Kate Bourke is 1750259792. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Kate Bourke located?

Kate Bourke practices at 135 Highway 35, Eatontown, NJ 07724. The listed phone number is (885) 660-4325.

What is Kate Bourke's specialty?

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

Is Kate Bourke enrolled in Medicare?

Yes. Kate Bourke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kate Bourke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kate Bourke reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Kate Bourke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kate Bourke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kate Bourke 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 Kate Bourke was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.