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

Q: 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.

Q: What is Kate Bourke'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 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 7 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.

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: August 09, 2026.

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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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