Provider Demographics
NPI:1134917545
Name:MCFARLAND, KATHERINE (RD, LDN, CSG)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MCFARLAND
Suffix:
Gender:
Credentials:RD, LDN, CSG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 S VENUS ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-5436
Mailing Address - Country:US
Mailing Address - Phone:813-465-0522
Mailing Address - Fax:
Practice Address - Street 1:2119 S VENUS ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-5436
Practice Address - Country:US
Practice Address - Phone:813-465-0522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4412133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered