Active NPI
Katlyn Alexandra Prater, RDN
- Registered Dietitian
- Mobile, AL
National Provider Identifier
1740049238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86345370
- Practice address
- 375 Hillcrest Rd Apt L204
Mobile, AL 36608-6600 - Phone
- (256) 770-1369
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 86345370 | AL | Primary |
Addresses
Primary practice location
375 Hillcrest Rd Apt L204
Mobile, AL 36608-6600
Mailing address
1302 Berkshire Dr NE
Jacksonville, AL 36265-1900
Phone (256) 770-1369
Other practice location 1
1302 Berkshire Dr NE
Jacksonville, AL 36265-1900
Phone (256) 770-1369
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 |
|---|---|---|---|
| 86345370 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Diet Dietitian, LLC | Dietitian, Registered | Current | Accepting new patients |
| Bradley Management LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1740049238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 BERKSHIRE DR NE",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362651900",
"telephone_number": "256-770-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 HILLCREST RD APT L204",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086600",
"telephone_number": "256-770-1369"
}
],
"practiceLocations": [
{
"address_1": "1302 Berkshire Dr NE",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "AL",
"postal_code": "362651900",
"country_code": "US",
"telephone_number": "256-770-1369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRATER",
"first_name": "KATLYN",
"middle_name": "ALEXANDRA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "86345370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
- Tierra Powell, FNP-C
- Tucker Elliott Powell, PA-C
- Victoria Anne Powell, RBT
- Practical Choices and Healthy Change Therapy, LLC
- Practicing by Faith Healthcare Services LLC
- Dianne J. Prati, RN
- Precision Orthotics & Prosthetics,LLC
- Fnu Preety, MD
- Premier Choice Medical, LLC
- Premier Health Management, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.