Basic Information
| Provider Information | |||||||||
| NPI: | 1376711432 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAILTON | ||||||||
| FirstName: | NATASHA | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS, RD, LD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 HIGHLANDER POINT DRIVE | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | FLOYDS KNOBS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 471199465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8125424921 | ||||||||
| FaxNumber: | 8129495966 | ||||||||
| Practice Location | |||||||||
| Address1: | 2019 STATE STREET | ||||||||
| Address2: | |||||||||
| City: | NEW ALBANY | ||||||||
| State: | IN | ||||||||
| PostalCode: | 471504921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8129495591 | ||||||||
| FaxNumber: | 8129495791 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2008 | ||||||||
| LastUpdateDate: | 03/31/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | KY-2048 | KY | N | Dietary & Nutritional Service Providers | Dietitian, Registered | 133V00000X | 37002611A | IN | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.