Active NPI
Mary Katelyn Bryant Wolfe, RDN
- Obesity and Weight Management Nutrition Registered Dietitian
- Starkville, MS
National Provider Identifier
1902512379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- D-1851
- Practice address
- 108 Lydia LN
Starkville, MS 39759-5504 - Phone
- (731) 695-5426
- NPI assigned
- Jan 27, 2023
- Last updated
- Jan 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-1851 | MS | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | D-1851 | MS | Primary |
Addresses
Primary practice location
108 Lydia LN
Starkville, MS 39759-5504
Mailing address
108 Lydia LN
Starkville, MS 39759-5504
Phone (731) 695-5426
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 |
|---|---|---|---|
| D-1851 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1902512379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 LYDIA LN",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397595504",
"telephone_number": "731-695-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 LYDIA LN",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397595504",
"telephone_number": "731-695-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "MARY KATELYN",
"middle_name": "BRYANT",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D-1851",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "MS",
"license": "D-1851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.