Provider Demographics
NPI:1992686331
Name:TRUMPY, KATIE (BCHN)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:TRUMPY
Suffix:
Gender:F
Credentials:BCHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 W STATE LINE RD
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:IL
Mailing Address - Zip Code:61089-9403
Mailing Address - Country:US
Mailing Address - Phone:815-821-3396
Mailing Address - Fax:815-821-3396
Practice Address - Street 1:8131 W STATE LINE RD
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:IL
Practice Address - Zip Code:61089-9403
Practice Address - Country:US
Practice Address - Phone:815-821-3396
Practice Address - Fax:815-821-3396
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education