Wellformed AI

NPI 1073014676 · live from the CMS NPI Registry

Sonya Renee Aversman, RD

Dietitian, Registered in Lee'S Summit, MO. National Provider Identifier 1073014676, active.

NPI record

NPI1073014676 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location3680 Ne Akin Dr, Suite 134, Lee'S Summit, MO 64064
Practice phone816-679-0186
Mailing address8909 S Hardsaw Rd, Lone Jack, MO 64070
EnumeratedFebruary 28, 2018
Last updatedJuly 21, 2022
Sole proprietorYes
Other namesSonya Cox

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X2011013518 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.