Individual provider Active NPI

Katherine Ossolinski, MS, RD, CSO, LD

  • Registered Dietitian
  • Athens, GA
National Provider Identifier
1184004574
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004763 Issued in GA
Practice address
1015 Whit Davis Rd
Athens, GA 30605-4039
Phone
(718) 908-7345
Fax
(706) 850-4541
NPI assigned
Jun 1, 2015
Last updated
Jun 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD004763 GA Primary

Addresses

Primary practice location

1015 Whit Davis Rd
Athens, GA 30605-4039

Mailing address

1015 Whit Davis Rd
Athens, GA 30605-4039
Phone (718) 908-7345

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD004763GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ikrdconsulting LLC Dietitian, Registered PastSince May 18, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1184004574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WHIT DAVIS RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054039",
            "telephone_number": "718-908-7345",
            "fax_number": "706-850-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 WHIT DAVIS RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054039",
            "telephone_number": "718-908-7345",
            "fax_number": "706-850-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSOLINSKI",
        "first_name": "KATHERINE",
        "credential": "MS, RD, CSO, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.