Wellform Nutrition & Regulatory Consulting Inc.
Organization Active NPI Registered Dietitian · Halesite, NY
NPI 1124947056 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1124947056
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- WELLFORM NUTRITION & REGULATORY CONSULTING INC.
- Practice address
- 37 Old Town LN
Halesite, NY 11743-2214 - Phone
- (631) 356-8666
- NPI assigned
- Jul 14, 2026
- Organization subpart
- No
Authorized official
- Name
- Katherine Margaret Fautas, RD, CDN
- Title
- Owner
- Phone
- (631) 356-8666
Practitioners 1
-
Katherine Margaret Fautas, RD, CDN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
37 Old Town LN
Halesite, NY 11743-2214
Mailing address
37 Old Town LN
Halesite, NY 11743-2214
Other providers in Halesite, NY
- Catherine Rizzo
- Sarah Wilkes Satzman
- Dimitri Varvatsas
- Laureen E. Vizza
- Alan Russell Weiss
- Amy Lea Yavoski
- Georgia Aris Yesmont
- Kelly Zelenka
All providers in Halesite, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.