Provider Demographics
NPI:1508671041
Name:OSTERBAUER, KATIE (RDN)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:OSTERBAUER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 HEMPSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-3138
Mailing Address - Country:US
Mailing Address - Phone:715-651-9903
Mailing Address - Fax:
Practice Address - Street 1:6001 HEMPSTEAD RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-3138
Practice Address - Country:US
Practice Address - Phone:715-651-9903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered