KATIE DEFOE-RAYMOND (NPI# 1316488703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316488703 |
| Entity Type | Organization |
| Organization Name | KATIE DEFOE-RAYMOND |
| Practice Address |
2 Medical Center Dr Ste 404 Springfield MA 01107-1270 |
| Practice Telephone | 4137363163 |
| Practice Fax Number | 4137330206 |
| Mailing Telephone | 4137363163 |
| Mailing Fax Number | 4137330206 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |
| Authorized Official Name | MS. KATIE DEFOE-RAYMOND (OWNER/AUTHORIZED OFFCIAL) |
| Authorized Official Telephone | 4135753048 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
2 MEDICAL CENTER DR STE 404 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269434 | Kelly Jo Bowie | Physician Assistant | 2 Medical Center Dr, 410, Springfield, MA 01107-1270 | 2005-07-21 |
| 1689049710 | Maria Alejandra Holguin | Nurse Practitioner | 2 Medical Center Dr, Suite 301, Springfield, MA 01107-1270 | 2015-12-01 |
| 1730563354 | Tammi Ouimette | Physician Assistant | 2 Medical Center Dr, Ste 308, Springfield, MA 01107-1270 | 2015-07-14 |
| 1326448036 | John-michael Cycz | Nurse Practitioner | 2 Medical Center Dr, Suite 410, Springfield, MA 01107-1270 | 2014-08-29 |
| 1831522184 | Ho Jun Yun | Physician Assistant | 2 Medical Center Dr, Suite 503, Springfield, MA 01199-1619 | 2013-08-09 |
| 1063844694 | Alixis A Vanhorn | Nurse Practitioner | 2 Medical Center Dr, Suite 503, Springfield, MA 01199-1619 | 2013-08-06 |
| 1851672364 | Jennifer Buchanan Nalepinski | Nurse Practitioner | 2 Medical Center Dr, Suite 308, Springfield, MA 01107-1270 | 2011-08-30 |
| 1346521879 | Christina M Collins | Nurse Practitioner | 2 Medical Center Dr, Suite 505, Springfield, MA 01107-1619 | 2011-08-29 |
| 1629397054 | Amy M Zajac | Nurse Practitioner | 2 Medical Center Dr, Suite 205, Springfield, MA 01107-1270 | 2010-05-25 |
| 1124353040 | Maria A. Aquadro | Nurse Practitioner | 2 Medical Center Dr, Suite 205, Springfield, MA 01107-1270 | 2009-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
| 1659978641 | Jaimie Lillian Lafferty | Dietitian, Registered | 1033 Lincoln Ave, Springfield, PA 19064-3922 | 2020-10-03 |
| 1023626108 | Samuel Bryan Yarrow | Dietitian, Registered | 960 E Walnut Lawn St Ste 203, Springfield, MO 65807-7865 | 2020-07-15 |
| 1417572579 | Nikki Jupe | Dietitian, Registered | 1928 5th St Apt 27, Springfield, OR 97477-2291 | 2020-06-14 |
| 1205487337 | Mary Digioia | Dietitian, Registered | 66 Industry Ave Ste 9, Springfield, MA 01104-3243 | 2019-09-20 |
| 1144877556 | Lindsey Allison Mcclafferty | Dietitian, Registered | 3252 S Meadowlark Ave, Springfield, MO 65807-8719 | 2019-08-20 |
| 1891357125 | Amy Richter | Dietitian, Registered | 1857 S Hampton Ave, Springfield, MO 65807-2725 | 2019-07-08 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1407322407 | Ruth Kirschner | Dietitian, Registered | 275 Chestnut St Ste 1, Springfield, MA 01104-3498 | 2018-10-17 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.