Provider Demographics
NPI:1285881979
Name:GRIMES, CATHERINE DIGILIO (RD)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:DIGILIO
Last Name:GRIMES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N 14TH ST
Mailing Address - Street 2:SCHOOL NUTRITION PROGRAMS DEPARTMENT OF EDUCATION
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-3665
Mailing Address - Country:US
Mailing Address - Phone:804-225-2074
Mailing Address - Fax:804-786-3117
Practice Address - Street 1:101 N 14TH ST
Practice Address - Street 2:SCHOOL NUTRITION PROGRAMS DEPARTMENT OF EDUCATION
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-3665
Practice Address - Country:US
Practice Address - Phone:804-225-2074
Practice Address - Fax:804-786-3117
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDB00134133V00000X, 171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No171000000XOther Service ProvidersMilitary Health Care Provider