Active NPI
Katrina Fortman, RDN, LDN
- Registered Dietitian
- Lancaster, MA
National Provider Identifier
1629781869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4593
- Practice address
- 99 Whitcomb Dr
Lancaster, MA 01523-2825 - Phone
- (661) 616-7373
- NPI assigned
- Jan 3, 2023
- Last updated
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 4593 | MA | Primary |
Addresses
Primary practice location
99 Whitcomb Dr
Lancaster, MA 01523-2825
Mailing address
99 Whitcomb Dr
Lancaster, MA 01523-2825
Phone (661) 616-7373
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1629781869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 WHITCOMB DR",
"city": "LANCASTER",
"state": "MA",
"postal_code": "015232825",
"telephone_number": "661-616-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 WHITCOMB DR",
"city": "LANCASTER",
"state": "MA",
"postal_code": "015232825",
"telephone_number": "661-616-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTMAN",
"first_name": "KATRINA",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.