NPI 1023050648 · live from the CMS NPI Registry
Katherine R Capen, RD LD
Dietitian, Registered in Fort Wayne, IN. National Provider Identifier 1023050648, active.
NPI record
| NPI | 1023050648 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4210 Flagstaff Cv, Fort Wayne, IN 46815 |
| Practice phone | 260-489-9009 |
| Enumerated | June 11, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37001493A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.