Katelyn Wilson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

143A E Bradford Ave
Cedar Grove, NJ 07009-1960

Phone

(973) 698-3901

NPI assigned

Jan 30, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1780121616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OLYPHANT DR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604224",
            "telephone_number": "973-698-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143A E BRADFORD AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091960",
            "telephone_number": "973-698-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATELYN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Whitehouse
• Alexa Maria Wilberton
• Charity Williams, CBD/NCS/BPC
• Annalise Wilner
• Wilson Psychological Associates LLC
• Wilson, P.a.
• Ruby Yedloutschnig
• Lynda Ann Youngworth, M.D., C.M., P.C.

• Registered Dietitian in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.