Active NPI
Katlyn Wolf, RD, LD
- Registered Dietitian
- Portland, OR
National Provider Identifier
1134079387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-D-10226946
- Practice address
- 2175 NW Raleigh St Ste 110
Portland, OR 97210-2392 - Phone
- (602) 218-5278
- Fax
- (844) 218-4691
- NPI assigned
- Jan 29, 2026
- 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 | LD-D-10226946 | OR | Primary |
Addresses
Primary practice location
2175 NW Raleigh St Ste 110
Portland, OR 97210-2392
Mailing address
70 S Val Vista Dr Ste A3-527
Gilbert, AZ 85296-1374
Phone (602) 218-5278
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-D-10226946 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Dietitian Group LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1134079387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 S VAL VISTA DR STE A3-527",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961374",
"telephone_number": "602-218-5278",
"fax_number": "844-218-4691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 NW RALEIGH ST STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102392",
"telephone_number": "602-218-5278",
"fax_number": "844-218-4691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "KATLYN",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-29",
"last_updated": "2026-01-29",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10226946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.