Individual provider Active NPI

Catherine Reando, MS, RD, LD, IBCLC

  • Registered Dietitian
  • Park Hills, MO
National Provider Identifier
1225915952
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2013036530 Issued in MO
Practice address
1025 W Main St
Park Hills, MO 63601-2079
Phone
(314) 210-3177
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-301081 MO
Registered Dietitian 133V00000X 2013036530 MO Primary

Addresses

Primary practice location

1025 W Main St
Park Hills, MO 63601-2079

Mailing address

1025 W Main St
Park Hills, MO 63601-2079
Phone (314) 210-3177

Other names 1

  • Catherine Dallas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2013036530MOMDRegistered Dietitian
L-301081MOMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1225915952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W MAIN ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012079",
            "telephone_number": "314-210-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W MAIN ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012079",
            "telephone_number": "314-210-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REANDO",
        "first_name": "CATHERINE",
        "credential": "MS, RD, LD, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MO",
            "license": "L-301081",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2013036530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "DALLAS",
            "credential": "MS, RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Park Hills, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.