Provider Demographics
NPI:1043535842
Name:MACHADO, KATHERINE SCHLUTER (MS, RD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:SCHLUTER
Last Name:MACHADO
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:MACHADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4295 GESNER ST STE 3A2
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-6646
Mailing Address - Country:US
Mailing Address - Phone:619-736-7010
Mailing Address - Fax:
Practice Address - Street 1:4295 GESNER ST STE 3A2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-6646
Practice Address - Country:US
Practice Address - Phone:619-289-8131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA964237133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic