KATHERYN FULLER PHD, RD/LD
NPI 1437802402
Dietitian, Registered in Oklahoma City, OK
About Katheryn Fuller Phd, Rd/ld NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERYN FULLER PHD, RD/LD (NPI 1437802402) is an individual dietitian, registered in Oklahoma City, Oklahoma and active in the NPI registry since January 2022. She is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katheryn Fuller Phd, Rd/ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katheryn Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Oswego, OR 97035
- Reassigned Medicare billing, Oregon enrollment
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katheryn Fuller's NPI number?
The NPI number for Katheryn Fuller is 1437802402. It was assigned to this individual provider in the NPPES registry on January 31, 2022.
Where is Katheryn Fuller located?
Katheryn Fuller practices at 825 NE 10th St, Oklahoma City, OK 73104. The listed phone number is (405) 271-2222.
What is Katheryn Fuller's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Katheryn Fuller enrolled in Medicare?
Yes. Katheryn Fuller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katheryn Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katheryn Fuller reassigns Medicare benefits to Strategic Nutrition (Lake Oswego, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katheryn Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katheryn Fuller accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Katheryn Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Katheryn Fuller was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katheryn Fuller, PHD, RD/LD · NPI 1437802402
Dietitian, Registered provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since January 31, 2022.
## Identity
- **NPI:** 1437802402 (Entity type: Individual)
- **Enumerated:** January 31, 2022
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 825 NE 10TH ST, Oklahoma City, OK 73104-5417
- **Phone:** (405) 271-2222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Strategic Nutrition (NPI 1679823108, Lake Oswego, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1437802402) · Data from the CMS NPPES public registry.