KATELYN ROSE NICHOLSON RDN NPI 1841933025

NPI Information

NPI: 1841933025
Provider Name: KATELYN ROSE NICHOLSON, RDN
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
1302 8TH AVE S
CLEAR LAKE, IA
ZIP 50428
Phone: (651) 302-9433
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Katelyn Rose Nicholson, RDN is a nutrition and metabolic dietitian registered in Clear Lake, IA. Katelyn Rose Nicholson, RDN NPI is 1841933025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1302 8TH AVE S
CLEAR LAKE, IA
ZIP 50428-610
Phone: (651) 302-9433

The enumeration date for this NPI number is 4/15/2022 and was last updated on 4/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	079235	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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