Katryna Rae Deogburn, RD is a
Dietitian, Registered based in Lisbon, Connecticut. Katryna Rae Deogburn is licensed to practice in Connecticut (license number 001035) and her current practice location is
59 Ross Hill Rd, Lisbon, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 230-8611.
NPI number for Katryna Rae Deogburn is 1831484260 and her current mailing address is 59 Ross Hill Rd, Lisbon, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831484260.
Healthcare Provider's Profile
| Full Name | Katryna Rae Deogburn |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 59 Ross Hill Rd, Lisbon, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831484260
- Provider Enumeration Date: 06/14/2011
- Last Update Date: 02/02/2026
Medical Identifiers
Medical identifiers for Katryna Rae Deogburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831484260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 001035 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katryna Rae Deogburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Katryna Rae Deogburn, RD 59 Ross Hill Rd, Lisbon, CT 06351-2919 Ph: (860) 230-8611 | Katryna Rae Deogburn, RD 59 Ross Hill Rd, Lisbon, CT 06351-2919 Ph: (860) 230-8611 |
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