Individual provider Active NPI

Katsiaryna Varnum, RDN

  • Registered Dietitian
  • Quartz Hill, CA
National Provider Identifier
1336081603
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.009707 Issued in IL
Practice address
42518 Blossom Dr
Quartz Hill, CA 93536-4385
Phone
(661) 365-9259
Fax
(661) 365-9259
NPI assigned
Apr 7, 2026
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 164.009707 IL Primary

Addresses

Primary practice location

42518 Blossom Dr
Quartz Hill, CA 93536-4385

Mailing address

42518 Blossom Dr
Quartz Hill, CA 93536-4385
Phone (661) 365-9259

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

LicenseStateTypeSpecialty
164.009707ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1336081603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42518 BLOSSOM DR",
            "city": "QUARTZ HILL",
            "state": "CA",
            "postal_code": "935364385",
            "telephone_number": "661-365-9259",
            "fax_number": "661-365-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42518 BLOSSOM DR",
            "city": "QUARTZ HILL",
            "state": "CA",
            "postal_code": "935364385",
            "telephone_number": "661-365-9259",
            "fax_number": "661-365-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNUM",
        "first_name": "KATSIARYNA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.009707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quartz Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.