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NPI Code Detail

MEDICARE: CATHERINE REANDO MS, RD, LD, IBCLC

MEDICARE: CATHERINE REANDO MS, RD, LD, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174N00000XLactation Consultant (Non-RN)L-301081MO
2133V00000XRegistered Dietitian2013036530MO

General Provider Information

NPI Number : 1225915952
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE REANDO MS, RD, LD, IBCLC
Provider Business Mailing Address
First Line : 1025 W MAIN ST
Second Line :
City : PARK HILLS
State : MO
Zip : 63601-2079
Country : US
Telephone Number : 314-210-3177
Fax Number :
Provider Business Practice Location Address
First Line : 1025 W MAIN ST
Second Line :
City : PARK HILLS
State : MO
Zip : 63601-2079
Country : US
Telephone Number : 314-210-3177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2025
Last Update Date : 08/15/2025

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