Active NPIIndividual providerSole proprietor

Katelyn Wilson, RD

Dietitian, Registered in Cedar Grove, New Jersey

NPI Number1780121616
Practice location
143A E Bradford Ave, Cedar Grove, NJ 07009-1960
Fax
—
Last updated
July 15, 2021

Katelyn Wilson is a Dietitian, Registered based in Cedar Grove, NJ. Katelyn Wilson practices in Cedar Grove, NJ and has the professional credentials of RD. The NPI Number for Katelyn Wilson is 1780121616. The current practice location address for Katelyn Wilson is 143A E Bradford Ave, Cedar Grove, NJ 07009-1960 and can be reached out via phone at 973-698-3901.

Provider Profile Details

NPI Number
1780121616
Provider Name
Katelyn Wilson
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
143A E Bradford Ave, Cedar Grove, NJ 07009-1960
Phone Number
973-698-3901
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2017
Last Update Date
July 15, 2021
Certification Date
July 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
143A E Bradford Ave
Cedar Grove, NJ 07009-1960
Zip
07009-1960
Phone Number
973-698-3901
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
49 Olyphant Dr
Morristown, NJ 07960-4224
City
Morristown
State
NJ
Zip
07960-4224
Phone Number
973-698-3901

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katelyn Wilson, RD?

The NPI number of Katelyn Wilson, RD is 1780121616. It was assigned on January 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Katelyn Wilson, RD?

Katelyn Wilson, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Katelyn Wilson, RD practice?

The practice location is 143A E Bradford Ave, Cedar Grove, NJ 07009-1960. The office can be reached at 973-698-3901 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780121616 directly on the NPPES registry website.

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