NPI 1033371372 · live from the CMS NPI Registry
Melissa M Bardsley, RD, CDE, CD
Dietitian, Registered in Spearfish, SD. National Provider Identifier 1033371372, active.
NPI record
| NPI | 1033371372 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1420 N 10th St, Spearfish, SD 57783 |
| Practice phone | 605-717-8595 |
| Mailing address | 353 Fairmont Blvd, Attn Mss, Rapid City, SD 57701 |
| Enumerated | June 27, 2008 |
| Last updated | December 3, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0547 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.