Kathryn Manzke, RDN

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

Practice address

675 S Euclid Ave
Pasadena, CA 91106-3732

Phone

(818) 790-8588

NPI assigned

Apr 13, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kate Manzke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Your Life Flow, Inc.

  • Registered Dietitian
  • Pasadena, CA
  • NPI 1578297552

  Nutrition, Sports Dietetics

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083356554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S EUCLID AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063735",
            "telephone_number": "626-379-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S EUCLID AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063732",
            "telephone_number": "818-790-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZKE",
        "first_name": "KATHRYN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "MANZKE",
            "credential": "RDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marina E Manvelyan, MD
• Shylo Ann Manzanares
• Anneka Jacynth Manzano
• Ivana Amber Brown Manzano
• Rebekka Jean Manzella, MS, OTR/L
• Nicolette Manzo
• Caitlin Mao, DPT
• Grace Mao
• Guo Ying Mao, LAC
• Ruiying Mao

• Sports Dietetics Nutrition Registered Dietitian in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Sports Dietetics Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.