MEDICARE: KATIE FIELD MS, RD, LD

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
1	133VN1005X	Renal Nutrition Registered Dietitian	DT81500	TX

General Provider Information

NPI Number	:	1851612550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE FIELD MS, RD, LD

Provider Business Mailing Address
First Line	:	1382 LOMALAND DR
Second Line	:	SUITE A
City	:	EL PASO
State	:	TX
Zip	:	79935-5204
Country	:	US
Telephone Number	:	915-591-0834
Fax Number	:

Provider Business Practice Location Address
First Line	:	1382 LOMALAND DR
Second Line	:	SUITE A
City	:	EL PASO
State	:	TX
Zip	:	79935-5204
Country	:	US
Telephone Number	:	915-591-0834
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2010
Last Update Date	:	06/20/2023

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