Provider Demographics
NPI:1376834291
Name:HARPER, KATIE HELEN (MS RD CSO)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:HELEN
Last Name:HARPER
Suffix:
Gender:F
Credentials:MS RD CSO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 AURORA CT
Mailing Address - Street 2:MAIL STOP 704
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2517
Mailing Address - Country:US
Mailing Address - Phone:720-848-0466
Mailing Address - Fax:720-848-4005
Practice Address - Street 1:1665 AURORA CT
Practice Address - Street 2:MAIL STOP 704
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2517
Practice Address - Country:US
Practice Address - Phone:720-848-0466
Practice Address - Fax:720-848-4005
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00917203133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered