Katelyn Rose Nicholson, RDN is a
Dietitian, Registered - Nutrition, Metabolic based in Clear Lake, Iowa. Katelyn Rose Nicholson is licensed to practice in Iowa (license number 079235) and her current practice location is
1302 8th Ave S, Clear Lake, Iowa. She can be reached at her office (for appointments etc.) via phone at
(651) 302-9433.
NPI number for Katelyn Rose Nicholson is 1841933025 and her current mailing address is 1302 8th Ave S, Clear Lake, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841933025.
Healthcare Provider's Profile
Full Name | Katelyn Rose Nicholson |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Metabolic |
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Location | 1302 8th Ave S, Clear Lake, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841933025
- Provider Enumeration Date: 04/15/2022
- Last Update Date: 04/15/2022
Medical Identifiers
Medical identifiers for Katelyn Rose Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841933025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 079235 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn Rose Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katelyn Rose Nicholson, RDN 1302 8th Ave S, Clear Lake, IA 50428-2610 Ph: (651) 302-9433 | Katelyn Rose Nicholson, RDN 1302 8th Ave S, Clear Lake, IA 50428-2610 Ph: (651) 302-9433 |
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