Katrina Lea Mouser, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2913 Issued in MN

Practice address

25212 County Highway 124
Fergus Falls, MN 56537-8266

Phone

(218) 770-9788

NPI assigned

Mar 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Birch Bungalow, LLC

  • Clinic/Center
  • Fergus Falls, MN
  • NPI 1932631405
  NPD (past) Authorized official

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1568994655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25212 COUNTY HIGHWAY 124",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565378266",
            "telephone_number": "218-770-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25212 COUNTY HIGHWAY 124",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565378266",
            "telephone_number": "218-770-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSER",
        "first_name": "KATRINA",
        "middle_name": "LEA",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth S Monke, M.S., L.P.
• Wendy Moore
• Tonya Marie Mortenson, RN
• Jean Renee Moszer, LPN
• Callen S Mouritsen
• Margaret Kalumba Mukula, LPN
• Gretchen Mullen
• Sarah Munick, RN
• Monica Murillo, CHW
• Alison Marie Murphy

• Registered Dietitian in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.