Active NPI
Katie Fuline
- Registered Dietitian
- Boardman, OH
National Provider Identifier
1679058622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006685
- Practice address
- 533 Oakridge Dr
Boardman, OH 44512-3147 - Phone
- (330) 519-9235
- NPI assigned
- Sep 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN006685 | PA | Primary |
| Registered Dietitian | 133V00000X | LD.7443 | OH |
Addresses
Primary practice location
533 Oakridge Dr
Boardman, OH 44512-3147
Mailing address
533 Oakridge Dr
Boardman, OH 44512-3147
Phone (330) 519-9235
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.7443 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1679058622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 OAKRIDGE DR",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123147",
"telephone_number": "330-519-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 OAKRIDGE DR",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123147",
"telephone_number": "330-519-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULINE",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006685",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.7443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
- Frank Yannucci DPM Inc
- Herman Frank III
- Sean Adrian Dwight Frederick, M.D.
- Fresenius Medical Care Youngstown, LLC (Renal Care Group Boardman)
- Kelsey Anne Fronek, MSW, LSW
- Full Circle Enrichment, Inc. (Full Circle Enrichment)
- Full Circle Homecare, LLC
- Amelia M Fulytar, APRN, FNP-BC
- Phil M Gainan, DC
- Isabella Gajdos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.