Individual provider · Type 1 NPI

Katherine Vincenza Bacon, MS, RDN

Registered Dietitian · Mastic, NY

NPI number 1245174648 Active

Practice location

251 N Titmus Dr
Mastic, NY 11950-1515

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86392502 (NY)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1245174648

Katherine Vincenza Bacon, MS, RDN's National Provider Identifier is 1245174648, issued on Apr 16, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Mastic, NY. The record was last updated on Apr 16, 2026.