Katherine R Capen in Fort Wayne - Dietitian, Registered
Katherine R Capen - NPI 1023050648
Katherine R Capen is a Dietitian, Registered in Fort Wayne, Indiana. Katherine R Capen practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Katherine R Capen is 1023050648. The last update date is 2007-07-09.
Katherine R Capen's current location address is 4210 Flagstaff Cv, Fort Wayne, Indiana. You can contact this provider via phone number 2604899009 and fax number 2604895057. The mailing address for Katherine R Capen is 4210 Flagstaff Cv, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine R Capen |
|---|---|
| Address | 4210 Flagstaff Cv, Fort Wayne, Indiana |
| Phone Number | 2604899009 |
| Fax Number | 2604895057 |
| Sole Proprietor | X |
| Credentials | RD LD |
NPI Number Detail
| NPI Number | 1023050648 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4210 Flagstaff Cv |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468154417 |
| Phone Number | 2604899009 |
| Fax Number | 2604895057 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 37001493A |
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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 |
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What is the unique 10-digit identifier code assigned to Katherine R Capen by the Centers for Medicare & Medicaid Services?
The Katherine R Capen has been issued the NPI (National Provider Identifier) 1023050648 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Katherine R Capen?
The Katherine R Capen is physically situated at 4210 Flagstaff Cv, in the city of Fort Wayne, state of IN, with the postal code 468154417.
What is Katherine R Capen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Katherine R Capen's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
When did Katherine R Capen receive its 1023050648 assignment?
The Katherine R Capen was assigned its 1023050648 on 2006-06-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Katherine R Capen most recently updated or revised?
The information pertaining to Katherine R Capen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.