Provider Demographics
NPI:1225478407
Name:YANG, KATIE GARRIOTT (MS, RD/LD)
Entity Type:Individual
Prefix:MISS
First Name:KATIE
Middle Name:GARRIOTT
Last Name:YANG
Suffix:
Gender:F
Credentials:MS, RD/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10413 LOGAN DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3912
Mailing Address - Country:US
Mailing Address - Phone:202-213-9850
Mailing Address - Fax:
Practice Address - Street 1:10413 LOGAN DR
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3912
Practice Address - Country:US
Practice Address - Phone:202-213-9850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDI100000207133V00000X
MDDX2496133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered