Healthcare Provider Details

I. General information

NPI: 1033658612
Provider Name (Legal Business Name): CATHRINE JONES RD, LD, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHY JONES RDN, LDN, IBCLC

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CARLISLE TER
MANHATTAN KS
66503-3014
US

IV. Provider business mailing address

200 CARLISLE TER
MANHATTAN KS
66503-3014
US

V. Phone/Fax

Practice location:
  • Phone: 785-307-1854
  • Fax:
Mailing address:
  • Phone: 785-307-1854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-46180
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1613
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: