Katie Brockamp, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

550 15TH St Unit 205
San Diego, CA 92101-7576

Phone

(760) 646-7506

NPI assigned

Feb 13, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1093215386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 15TH ST UNIT 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 15TH ST UNIT 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017576",
            "telephone_number": "760-646-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKAMP",
        "first_name": "KATIE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason L Brock, IDC
• Jori Leigh Brock, RN
• Ryan Joseph Brock
• Whitney Wardlaw Brock, DNP
• William Michael Brock, PH.D.
• Bahar Brocken
• Alicja Brockett, R.N.
• Daniel Brockett, M.D.
• Billie Jo V. Brockington, PA-C
• Joe B. Brockman, PA-C

• Registered Dietitian in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.