Healthcare Provider Details

I. General information

NPI: 1851612550
Provider Name (Legal Business Name): KATIE FIELD MS, RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1382 LOMALAND DR SUITE A
EL PASO TX
79935-5204
US

IV. Provider business mailing address

1382 LOMALAND DR SUITE A
EL PASO TX
79935-5204
US

V. Phone/Fax

Practice location:
  • Phone: 915-591-0834
  • Fax:
Mailing address:
  • Phone: 915-591-0834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License NumberDT81500
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: