Active NPI
Katia Zogg, RD
- Registered Dietitian
- Lakeport, CA
National Provider Identifier
1710596556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86150035
- Practice address
- 359 Lakeport Blvd
Lakeport, CA 95453-5412 - Phone
- (707) 533-2740
- NPI assigned
- Jul 28, 2020
- 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 | 86150035 | CA | Primary |
Addresses
Primary practice location
359 Lakeport Blvd
Lakeport, CA 95453-5412
Mailing address
3386 Princeton Dr
Santa Rosa, CA 95405-7055
Phone (707) 761-5438
Other practice location 1
2523 Village Side Dr
Santa Rosa, CA 95405-6839
Phone (707) 761-5438
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86150035 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600560000000",
"number": "1710596556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3386 PRINCETON DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057055",
"telephone_number": "707-761-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 LAKEPORT BLVD",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954535412",
"telephone_number": "707-533-2740"
}
],
"practiceLocations": [
{
"address_1": "2523 Village Side Dr",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954056839",
"country_code": "US",
"telephone_number": "707-761-5438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZOGG",
"first_name": "KATIA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2020-09-20",
"certification_date": "2020-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86150035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.