Provider Demographics
NPI:1841038973
Name:TALLMAN, KATIE ANN (MHS, RD, LDN)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ANN
Last Name:TALLMAN
Suffix:
Gender:F
Credentials:MHS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 COURTHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-0020
Mailing Address - Country:US
Mailing Address - Phone:317-332-9118
Mailing Address - Fax:
Practice Address - Street 1:345 COURTHOUSE DR
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-0020
Practice Address - Country:US
Practice Address - Phone:828-389-8052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered