Katlyn Marie Frye, RD, CSSD, ACSM-CPT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1058829 Issued in VA

Practice address

101 Cheltenham Dr
Stephens City, VA 22655-2334

Phone

(540) 327-8191

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 and National Provider Directory roles.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1962264556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHELTENHAM DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552334",
            "telephone_number": "540-327-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHELTENHAM DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552334",
            "telephone_number": "540-327-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "KATLYN",
        "middle_name": "MARIE",
        "credential": "RD, CSSD, ACSM-CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "VA",
            "license": "1058829",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "1058829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samia H Farah, RPH,PHARMD
• Anthony Blake Fields, PHARM D
• Wendy M Fink
• Kelley Fisher
• Jessica M Forrer, DPT
• Lindsey Garber, M.A., CCC-SLP
• Samuel E Garcia
• Elizabeth Ann Garner, LCSW
• Aleila Garrett
• Gentle Family Dentistry of Stephens City PLLC

• Registered Dietitian in Stephens City, VA
• Providers in Stephens City, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.