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KATHERINE DOUGLAS RD/RDN
NPI 1619683729
Dietitian, Registered in Jacksonville, FL

Active since January 24, 2023
11555 CENTRAL PKWY STE 201, JACKSONVILLE, FL 32224(904) 300-2809 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katherine Douglas Rd/rdn NPPES

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

KATHERINE DOUGLAS RD/RDN (NPI 1619683729) is an individual dietitian, registered in Jacksonville, Florida and active in the NPI registry since January 2023. She maintains a secondary practice location in Daytona Beach.

NPPES Registry Identity

NPI1619683729
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATHERINE DOUGLASCredential: RD/RDN
Location Address11555 CENTRAL PKWY STE 201Jacksonville, FL 32224-2693
Mailing Address153 Gleneagle Grande DrDaytona Beach, FL 32124-3044
Phone(904) 300-2809
Sole ProprietorNo
Enumeration DateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1619683729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
11555 CENTRAL PKWY STE 201, Jacksonville, FL 32224
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Secondary Practice Location 1

Location 1153 Gleneagle Grande DrDaytona Beach, FL 32124-3044 · Phone (386) 852-7851

Other Providers at the Same Location NPPES 4

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

MARCO ANTONIO HELIO DA SILVA AP
Acupuncturist
11555 CENTRAL PKWY STE 201
JACKSONVILLE, FL 32224
Duval County (904) 300-2809
PABLO M PELLA, M.D., P.A.
Specialist
11555 CENTRAL PKWY STE 201
JACKSONVILLE, FL 32224
Duval County (904) 646-3420
COASTAL HEALTH INSTITUTE, LLC
Clinic/Center (Physical Therapy)
11555 CENTRAL PKWY STE 201
JACKSONVILLE, FL 32224
Duval County (904) 537-2254
TORTU VENTURES LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
11555 CENTRAL PKWY STE 201
JACKSONVILLE, FL 32224
Duval County (786) 617-0801

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 Katherine Douglas's NPI number?

The NPI number for Katherine Douglas is 1619683729. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Katherine Douglas located?

Katherine Douglas practices at 11555 Central Pkwy Ste 201, Jacksonville, FL 32224. The listed phone number is (904) 300-2809.

What is Katherine Douglas's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Katherine Douglas was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.