NPIMap

Organization Active NPI

Katie Defoe-Raymond

  • Registered Dietitian
  • Springfield, MA
National Provider Identifier
1316488703
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KATIE DEFOE-RAYMOND
Practice address
2 Medical Center Dr
Ste 404
Springfield, MA 01107-1270
Phone
(413) 736-3163
Fax
(413) 733-0206
NPI assigned
Mar 17, 2017
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Ms. Katie Defoe-Raymond, RDNPI 1952683443
Title
Owner/Authorized Offcial
Phone
(413) 575-3048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2 Medical Center Dr
Ste 404
Springfield, MA 01107-1270

Mailing address

2 Medical Center Dr
Ste 404
Springfield, MA 01107-1270
Phone (413) 736-3163

National Provider Directory

National Provider Directory

Locations

2 Medical Center Dr
Ste 404
Springfield, MA 01107
Phone (413) 736-3163

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1316488703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "STE 404",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071270",
            "telephone_number": "413-736-3163",
            "fax_number": "413-733-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "STE 404",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071270",
            "telephone_number": "413-736-3163",
            "fax_number": "413-733-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE DEFOE-RAYMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "DEFOE-RAYMOND",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFCIAL",
        "authorized_official_telephone_number": "413-575-3048",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.