KATHRYN KOLLER RD. LD
NPI 1942004585
Dietitian, Registered in Fort Wayne, IN

Active since April 02, 2025
412 S SCOTT RD, FORT WAYNE, IN 46814(260) 358-7180 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathryn Koller Rd. Ld NPPES

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

KATHRYN KOLLER RD. LD (NPI 1942004585) is an individual dietitian, registered in Fort Wayne, Indiana, licensed in Indiana (37004107A) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1942004585
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATHRYN KOLLERCredential: RD. LD
Location Address412 S SCOTT RDFort Wayne, IN 46814-9702
Mailing Address260 Premier Ave Apt 101Bluffton, IN 46714-0077 · (216) 952-7879
Sole ProprietorNo
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
NPI 1942004585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in IN · 37004107A
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.

412 S SCOTT RD, Fort Wayne, IN 46814

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
412 S SCOTT RD
FORT WAYNE, IN 46814
Marriage & Family Therapist
412 S SCOTT RD
FORT WAYNE, IN 46814
Counselor (Mental Health)
412 S SCOTT RD
FORT WAYNE, IN 46814
Counselor (Professional)
412 S SCOTT RD
FORT WAYNE, IN 46814
Student in an Organized Health Care Education/Training Program
412 S SCOTT RD
FORT WAYNE, IN 46814
Counselor (Mental Health)
412 S SCOTT RD
FORT WAYNE, IN 46814
Dietitian, Registered
412 S SCOTT RD
FORT WAYNE, IN 46814
Dietitian, Registered
412 S SCOTT RD
FORT WAYNE, IN 46814

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 Kathryn Koller's NPI number?

The NPI number for Kathryn Koller is 1942004585. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Kathryn Koller located?

Kathryn Koller practices at 412 S Scott Rd, Fort Wayne, IN 46814. The listed phone number is (260) 358-7180.

What is Kathryn Koller'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 Kathryn Koller was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.