Kathleen Louise Sopp, R.D.

Dietitian, Registered in Fort Bragg, NC. Individual provider (NPI-1).

NPI number1245420439

StatusActive

Last updated in NPPESSep 3, 2025

Details

NPI: 1245420439
Entity type: Individual (NPI-1)
Name: Mrs. Kathleen Louise Sopp
Credential: R.D.
Sex: Female
Sole proprietor: No
Enumeration date: Jul 25, 2007
Certification date: Sep 3, 2025
Last updated: Sep 3, 2025

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
133V00000X	Dietitian, Registered	707205	PA	Yes

Other names

Kathleen Louise Sopp (Professional Name)

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001

Phone 910-907-6134

Mailing address

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001

Phone 910-907-6134

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Dietitian providers in Fort Bragg, NC

All 43 Registered Dietitian providers in Fort Bragg · All 2,056 providers in Fort Bragg

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