Active NPI
Catherine Jane Bratka, RD, LD
- Registered Dietitian
- Fairlawn, OH
National Provider Identifier
1346419207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD 6182
- Practice address
- 3406 Lenox Village Dr
#244
Fairlawn, OH 44333-4442 - Phone
- (330) 714-7049
- NPI assigned
- Feb 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 6182 | OH | Primary |
Addresses
Primary practice location
3406 Lenox Village Dr
#244
Fairlawn, OH 44333-4442
Mailing address
3406 Lenox Village Dr
#244
Fairlawn, OH 44333-4442
Phone (330) 714-7049
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD 6182 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1346419207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 LENOX VILLAGE DR",
"address_2": "#244",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334442",
"telephone_number": "330-714-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 LENOX VILLAGE DR",
"address_2": "#244",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334442",
"telephone_number": "330-714-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATKA",
"first_name": "CATHERINE",
"middle_name": "JANE",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD 6182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.