Mrs Katrina Dianne Howard, RD | |
900 Main St, Peoria, IL 61602-1005 | |
(309) 282-9676 | |
Not Available |
Full Name | Mrs Katrina Dianne Howard |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 900 Main St, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245653393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 164.006076 (Illinois) | Primary |
Provider Name | Springfield Clinic Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
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Mrs Katrina Dianne Howard, RD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Mrs Katrina Dianne Howard, RD 900 Main St, Peoria, IL 61602-1005 Ph: (309) 282-9676 |
Mrs. Crystal Ann Casper, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7610 N Orange Prarie Road, Peoria, IL 61615 Phone: 309-589-1001 | |
The Fresh Beet Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1609 W Moss Ave, Peoria, IL 61606 Phone: 843-410-8233 | |
Mrs. Patrice Jeanne Cole, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5409 N. Knoxville Ave., Proctor Hospital, Peoria, IL 61614 Phone: 309-691-1056 Fax: 309-689-6010 | |
Karen Ann Hutton, RD, LDN, MA Dietitian Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4957 Fax: 309-672-4953 | |
Mrs. Allyson Cole, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3341 W Pilgrims Way, Peoria, IL 61615 Phone: 815-685-1563 | |
Ashley Simper, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2054 Fax: 309-655-4022 | |
Norma A. Wiser, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-683-5865 Fax: 309-655-7869 |