Individual Healthcare Provider
Kathy Berdecia Doane, PHARMD, RPH, RDN
Provider's NPPES record last updated: March 17, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1407996713
- Primary Specialty
- Pharmacist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Practice Location
- Eagan, Minnesota
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 5:18 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pharmacist
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Pharmacy Service Providers
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Taxonomy code 1835P0018X Pharmacist
Pharmacy Service Providers
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Taxonomy code 183500000XNutritionist
Nutrition, Education
Dietary & Nutritional Service Providers
Definition to come...
Taxonomy code 133NN1002XNutritionist
Dietary & Nutritional Service Providers
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Taxonomy code 133N00000XDietitian, Registered
Dietary & Nutritional Service Providers
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.
Taxonomy code 133V00000X
Provider-Reported License Information
- Pharmacist (Georgia)
- RPH034170
- Pharmacist (Massachusetts)
- 236242
- Nutritionist (Puerto Rico)
- 1443
- Nutritionist (Puerto Rico)
- 1443
- Dietitian, Registered (Massachusetts)
- 2762
- Pharmacist (Texas)
- 74157
Practice Locations
Practice Location
Po Box 211699
Eagan, Minnesota 55121-3699
Phone: (866) 849-0692
Additional Practice Location
1049 Main St
Springfield, Massachusetts 01103
Phone: (413) 693-1005
Additional Practice Location
1128 S Park St
Carrollton, Georgia 30117-4450
Phone: (770) 836-0770
Additional Practice Location
230 Maple St
Holyoke, Massachusetts 01040-5144
Phone: (413) 420-2127
Fax: (413) 540-0957
Record Information
- Enumeration Date
- February 7, 2007
- Provider's NPPES Record Last Updated
- March 17, 2026
- Certification Date
- March 17, 2026
- NPISignal NPPES Dataset
- August 2026
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