Active NPI
Judy Ann Kwiatkowski, RD
- Registered Dietitian
- La Porte, IN
National Provider Identifier
1043295553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37001357A
- Practice address
- 1007 Lincolnway
La Porte, IN 46352-0250 - Phone
- (219) 326-1234
- Fax
- (219) 326-2509
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37001357A | IN | Primary |
Addresses
Primary practice location
1007 Lincolnway
La Porte, IN 46352-0250
Mailing address
53780 W Pointe Blvd
South Bend, IN 46628-4595
Phone (574) 288-4965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043295553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53780 W POINTE BLVD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466284595",
"telephone_number": "574-288-4965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 LINCOLNWAY",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463520250",
"telephone_number": "219-326-1234",
"fax_number": "219-326-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWIATKOWSKI",
"first_name": "JUDY",
"middle_name": "ANN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37001357A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Porte, IN
- Michelle M Kroening, RPH
- Kroger Limited Partnership I (Kroger Pharmacy)
- Melissa Kuczmanski, LMHC
- Jody Kupferberg, ARNP
- Rebecca M Kuzma, PHARM.D.
- Eugene Theodore Kwiecien, DDS
- La Porte Al, LLC (Trustwell Living at Settlers Place)
- La Porte Clinic Company LLC (La Porte Physician Network Ophthalmology Care)
- La Porte County Auditor (La Porte County Emergency Medical Service)
- La Porte Home Care Services LLC (Indiana Homecare Northwest)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.