Katie Vedros, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3184 Issued in LA

Practice address

2800 Veterans Memorial Blvd Ste 140
Metairie, LA 70002-6139

Phone

(504) 584-6990

Fax

(504) 584-6980

NPI assigned

Jul 22, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Bonvillain Former name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mary Bird Perkins Cancer Center

  • Clinical Medical Laboratory
  • Baton Rouge, LA
  • NPI 1295833580
  Medicare reassignment NPD
• St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C.

  • Radiation Oncology Physician
  • Gonzales, LA
  • NPI 1619155124
  Medicare reassignment NPD

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1760364731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 ESSEN LN STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093543",
            "telephone_number": "225-215-1281",
            "fax_number": "225-215-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 VETERANS MEMORIAL BLVD STE 140",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026139",
            "telephone_number": "504-584-6990",
            "fax_number": "504-584-6980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 W Highway 30",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707375003",
            "country_code": "US",
            "telephone_number": "225-644-1205",
            "fax_number": "225-644-5367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEDROS",
        "first_name": "KATIE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "3184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BONVILLAIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Vasquez
• David S Vaughan
• Krystal Michelle Vaughn, LPC
• Larriontae Vaughn
• Marceia Veal
• Veintastic Skillz
• Francesca Velasco, DDS
• Eva Velazquez-Silva
• Robert Velez, M.D.
• Kendra Ventura

• Registered Dietitian in Metairie, LA
• Providers in Metairie, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.