Provider Demographics
NPI:1942920988
Name:KATIE SALMON, RD LLC
Entity Type:Organization
Organization Name:KATIE SALMON, RD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:917-952-1467
Mailing Address - Street 1:49 ASTOR PL
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-4204
Mailing Address - Country:US
Mailing Address - Phone:917-952-1467
Mailing Address - Fax:
Practice Address - Street 1:49 ASTOR PL
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-4204
Practice Address - Country:US
Practice Address - Phone:917-952-1467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty