Katherine Fann, MS, RD, LD, CSWOMCDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2012024505 Issued in MO

Practice address

841 Manitou Dr
Saint Louis, MO 63119-1229

Phone

(303) 717-2972

NPI assigned

Mar 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Lambert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295195451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 SAN JACINTO CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393703",
            "telephone_number": "303-717-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MANITOU DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191229",
            "telephone_number": "303-717-2972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15945 Clayton Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630112493",
            "country_code": "US",
            "telephone_number": "636-893-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANN",
        "first_name": "KATHERINE",
        "credential": "MS, RD, LD, CSWOMCDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2012024505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LAMBERT",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Baolin Fan, MD
• Frances Fan, MD
• Kelly Danni Fan
• Lea Fang, OTR
• Teri Fanizza
• Hallie Rae Fanning, PHARM. D
• Matt Fanning, MSW, LCSW
• Carmen Fanous, MD
• Cynthia Fantini
• Donna Fantozzi, LPC

• Registered Dietitian in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Dietitian in Missouri

• 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.