St. Agnes Healthcare, Inc.
NPI 1053713941ActiveOrganization· Dietitian, Registered· Baltimore, MD
Dietitian, Registered in Baltimore, Maryland, registered in NPPES in September 2014, part of St. Agnes Healthcare, Inc. The authorized official on file is Keith Vander Kolk, President/Ceo.
Overview
| NPI | 1053713941 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St. Agnes Healthcare, Inc. |
| NPI issued | Sep 23, 2014 |
| Last updated in NPPES | Feb 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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