Pcos Fertility Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PCOS FERTILITY NUTRITION, LLC

Practice address

11 N Sandalwood St
Wichita, KS 67230-6611

Phone

(805) 540-9328

NPI assigned

Feb 24, 2026

Organization subpart

No

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

Authorized official

Name

Caitlin Johnson, RDNPI 1134671274

Title

Dietitian/Ceo

Phone

(805) 540-9328

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Johnson, RD

  • Registered Dietitian
  • Santa Maria, CA
  • NPI 1134671274

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1376497537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N SANDALWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672306611",
            "telephone_number": "805-540-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N SANDALWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672306611",
            "telephone_number": "805-540-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCOS FERTILITY NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "DIETITIAN/CEO",
        "authorized_official_telephone_number": "805-540-9328",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Scott Paxton, MD
• Norman Pay, MD
• Ethan Payne, MD
• Evangeline Claire Payne, LSCSW
• Tamara Payne, DOULA
• Pdi Health KS LLC
• Pdi Health KS LLC
• PDS Physical Therapy, P.a.
• Peace Love and Therapy LLC
• Bethany Linnea Zidek Peach, MD

• Registered Dietitian in Wichita, KS
• Providers in Wichita, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.