Active NPI
Katalee Staley, RDN
- Registered Dietitian
- Dearborn, MI
National Provider Identifier
1518335306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1062441
- Practice address
- 4900 Mercury Dr
Ste. 201
Dearborn, MI 48126-2947 - Phone
- (313) 982-4368
- NPI assigned
- Sep 10, 2015
- 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 | 1062441 | IL | Primary |
Addresses
Primary practice location
4900 Mercury Dr
Ste. 201
Dearborn, MI 48126-2947
Mailing address
14997 Alexander St
Livonia, MI 48154-4051
Phone (734) 968-3599
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 |
|---|---|---|---|
| 1062441 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pursuitwell, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Point of Service
- Livonia, MI
- NPI 1821702002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1518335306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14997 ALEXANDER ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481544051",
"telephone_number": "734-968-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MERCURY DR",
"address_2": "STE. 201",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262947",
"telephone_number": "313-982-4368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "KATALEE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "1062441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.