Healthcare Provider Details

I. General information

NPI: 1245147552
Provider Name (Legal Business Name): KATE ATSAS RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6895 COLLEEN DR
YOUNGSTOWN OH
44512-3834
US

IV. Provider business mailing address

6895 COLLEEN DR
YOUNGSTOWN OH
44512-3834
US

V. Phone/Fax

Practice location:
  • Phone: 330-770-5115
  • Fax:
Mailing address:
  • Phone: 330-770-5115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD.5820
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: