Katie Lyn Mednick, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86289377

Practice address

525 7TH St
Waukee, IA 50263-9614

Phone

(949) 439-1663

NPI assigned

Feb 7, 2023

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

Electronic endpoints 1

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677283200000",
    "number": "1972200236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 7TH ST",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639614",
            "telephone_number": "949-439-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 7TH ST",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639614",
            "telephone_number": "949-439-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDNICK",
        "first_name": "KATIE",
        "middle_name": "LYN",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-25",
        "certification_date": "2023-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86289377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Healthie.com",
            "affiliation": "N",
            "endpointDescription": "Secure Electronic Health Record and Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 7th St",
            "city": "Waukee",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502639614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carole Marie McClanahan, MD, MPH
• Michael Lee McCunniff, DDS
• Katherine McCurdy, MS, CCC-SLP
• Deanna L McDonald, SLP
• Morgan McGinn, PA-C
• Mercy Clinics, Inc
• Mercy Clinics, Inc
• Midwest Chiropractic & Rehabilitation Centre
• Brittney Mikkelsen
• Adam David Miller, MD

• All providers in Waukee, IA
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.