Kathryn Marie Drudik, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86080429 Issued in CO

Practice address

10465 Park Meadows Dr Ste 201
Lone Tree, CO 80124-5321

Phone

(303) 790-1515

Fax

(303) 790-1989

NPI assigned

May 21, 2020

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1295358588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 PARK MEADOWS DR STE 201",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245321",
            "telephone_number": "303-790-1515",
            "fax_number": "303-790-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 PARK MEADOWS DR STE 201",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245321",
            "telephone_number": "303-790-1515",
            "fax_number": "303-790-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUDIK",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86080429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "86080429",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Rose Dowling, PT, DPT
• Derek Draper, MD
• Dreamwork Anesthesia, PC
• Letitia Ann Drexelius, FNP-C
• Karla Dreyer
• Stephanie Ann Druva, R.D.
• Elliot Preston Dubowitch, MD
• Paige Dudas
• Teri Michelle Duffey, SLP
• Jordan Dugan, PT

• Registered Dietitian in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.