Marisela Gomez Raffo, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

283075 Issued in KY

Practice address

2045 W Grand Ave Ste B
Chicago, IL 60612-1577

Phone

(888) 200-5492

NPI assigned

Feb 1, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marisela Belen Gomez Bayolo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1205532280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SAIL MAKER LN",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247402",
            "telephone_number": "954-980-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121577",
            "telephone_number": "888-200-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ RAFFO",
        "first_name": "MARISELA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "283075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISELA",
            "last_name": "GOMEZ BAYOLO",
            "middle_name": "BELEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olga Gomeniouk
• Leticia Gomez Delacasa, M.A. LPC
• Brenda Gomez Herrera, LCSW
• Amiko Gomez Hidaka
• Xaviera Gomez Pimienta Orleansky
• Laura Veronica Gomez Rivera
• Pamela June Gomez Scott, LCPC, CADC
• Javier Alfonso Gomez Valencia, MD
• Memphis Gracelynn Gomez-Bravo
• Maria I Gomez-Czaja

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.