Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Vincenza Bacon, MS, RDN

Individual provider Registered Dietitian · NPI 1245174648

Katherine Vincenza Bacon, MS, RDN is a Registered Dietitian in Mastic, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

251 N Titmus Dr
Mastic, NY 11950-1515
Phone: (631) 377-1793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86392502 (NY)

Record details

NPI number1245174648
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN
Sole proprietorNo
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

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