Provider Demographics
NPI:1851612550
Name:FIELD, KATIE (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:FIELD
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1382 LOMALAND DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-5204
Mailing Address - Country:US
Mailing Address - Phone:915-591-0834
Mailing Address - Fax:
Practice Address - Street 1:1382 LOMALAND DR
Practice Address - Street 2:SUITE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-5204
Practice Address - Country:US
Practice Address - Phone:915-591-0834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT81500133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal