Katherine Wetzel Davis, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

6379244-4901 Issued in UT

Practice address

2936 S Highland Dr
SLC, UT 84106-3582

Phone

(801) 385-1709

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Wetzel Davis Other name

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.

• Paige Smathers Nutrition, LLC

  • Registered Dietitian
  • Salt Lake City, UT
  • NPI 1588159479

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1679059265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 S 1800 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841064131",
            "telephone_number": "801-815-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 S HIGHLAND DR",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841063582",
            "telephone_number": "801-385-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHERINE",
        "middle_name": "WETZEL",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "6379244-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DAVIS",
            "middle_name": "WETZEL",
            "credential": "RDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Leeanne Darling, PA-C MPAS
• Ann Marie Darstein, OTR/L
• Rebecca Davenport
• Kayleen Savage Davidson
• Jan Duffy Davis, S.L.P
• Kimberly Jo Davis, D.O.
• Matthew Davis, PH.D.
• Chelsea Anne Day, MOT, OTR/L
• Morgan Fan Day
• Kali Dawn Dayton, ACNP

• Registered Dietitian in SLC, UT
• Providers in SLC, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.