Katelyn Lee Manga, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86070886 Issued in MD

Practice address

2639 Connecticut Ave NW Ste 251
Washington, DC 20008-2651

Phone

(877) 674-2843

NPI assigned

Jul 31, 2017

Last updated

Jul 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Body Image Therapy Center Intensive

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1982035994

  Dietitian, Registered

  NPD (past)
• Nourish Family Nutrition Coaching, LLC

  • Registered Dietitian
  • Santa Fe, NM
  • NPI 1124495957

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1891219903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 QUARRY BRIDGE CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW STE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082651",
            "telephone_number": "877-674-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGA",
        "first_name": "KATELYN",
        "middle_name": "LEE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "86070886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Manfouo Fokou
• David Gino Manfredi, HS2
• Rita A Manfredi, MD
• Peter Luciano Manfredonia, MD
• Theophile Manga Manga
• Shellybright Manga
• James Robert Mangani, LMT
• Marybeth Elise Mangas, LCSW
• Prudencia Mangebi
• Jaytoya Chenelle Manget, RN-BC, FNP-BC

• Registered Dietitian in Washington, DC
• Providers in Washington, DC by specialty
• Registered Dietitian in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.