KATIE ANN OTT RD
NPI 1467095729
Dietitian, Registered in Modesto, CA

Active since October 18, 2019Accepts Medicare Assignment
1552 COFFEE RD STE 200, MODESTO, CA 95355(209) 248-7168(209) 846-9641 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2025, Feb 11, 2020, Oct 18, 2019 (3 updates tracked since 2019).

About Katie Ann Ott Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE ANN OTT RD (NPI 1467095729) is an individual dietitian, registered in Modesto, California, licensed in (86062158) and active in the NPI registry since October 2019. She maintains a secondary practice location in Stockton and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467095729
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATIE ANN OTTCredential: RD
Location Address1552 COFFEE RD STE 200Modesto, CA 95355-3122
Mailing Address1001 Sylvan Ave Ste AModesto, CA 95350-1699 · (209) 248-7168 · Fax (209) 846-9641
Fax(209) 846-9641
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 18, 2019
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
NPI 1467095729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed · 86062158
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1552 COFFEE RD STE 200, Modesto, CA 95355

Secondary Practice Location 1

Location 1644 E Harding Way Ste BStockton, CA 95204-6103 · Phone (209) 244-9191 · Fax (209) 244-9190

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katie Ann Ott Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315371283
PECOS Enrollment IDI20191231001126

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1552 COFFEE RD STE 200
MODESTO, CA 95355
Surgery
1552 COFFEE RD STE 200
MODESTO, CA 95355
Psychologist (Clinical)
1552 COFFEE RD STE 200
MODESTO, CA 95355
Physician Assistant (Medical)
1552 COFFEE RD STE 200
MODESTO, CA 95355
Nurse Practitioner (Family)
1552 COFFEE RD STE 200
MODESTO, CA 95355
Nurse Practitioner (Family)
1552 COFFEE RD STE 200
MODESTO, CA 95355
Nurse Practitioner
1552 COFFEE RD STE 200
MODESTO, CA 95355
Nurse Practitioner
1552 COFFEE RD STE 200
MODESTO, CA 95355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467095729, enumerated as an "individual" on October 18, 2019.

The provider is located at 1552 COFFEE RD STE 200 MODESTO, CA 95355 and the phone number is (209) 248-7168.

Dietitian, Registered with taxonomy code 133V00000X.