Active NPI
Katryna Rae Deogburn, RD
- Registered Dietitian
- Lisbon, CT
National Provider Identifier
1831484260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001035
- Practice address
- 59 Ross Hill Rd
Lisbon, CT 06351-2919 - Phone
- (860) 230-8611
- NPI assigned
- Jun 14, 2011
- Last updated
- Feb 2, 2026
- 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 | 001035 | CT | Primary |
Addresses
Primary practice location
59 Ross Hill Rd
Lisbon, CT 06351-2919
Mailing address
59 Ross Hill Rd
Lisbon, CT 06351-2919
Phone (860) 230-8611
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Eat Well LLC | Dietitian, Registered | Current | Accepting new patients |
| Shoreline Audiology, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1831484260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 ROSS HILL RD",
"city": "LISBON",
"state": "CT",
"postal_code": "063512919",
"telephone_number": "860-230-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 ROSS HILL RD",
"city": "LISBON",
"state": "CT",
"postal_code": "063512919",
"telephone_number": "860-230-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEOGBURN",
"first_name": "KATRYNA",
"middle_name": "RAE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lisbon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.