NPI 1053733428 · live from the CMS NPI Registry
Jennifer Beazer, RDN LD
Dietitian, Registered, Nutrition, Metabolic in Kalispell, MT. National Provider Identifier 1053733428, active.
NPI record
| NPI | 1053733428 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Metabolic 133VN1006X |
| Practice location | 202 Conway Dr Ste 200, Kalispell, MT 59901 |
| Practice phone | 406-751-4188 |
| Mailing address | 248 1st Ave W Unit 1342, Kalispell, MT 59903 |
| Enumerated | January 20, 2014 |
| Last updated | January 29, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | 79779 (MT) |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | d470 (ID) |
| Dietitian, Registered, Nutrition, Pediatric Critical Care | 133VN1401X | 79779 (MT) |
| Dietitian, Registered, Nutrition, Metabolic primary | 133VN1006X | 79779 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.