NPI 1083260467 · live from the CMS NPI Registry
Jessica D Bahling, RDN
Dietitian, Registered in Arvada, CO. National Provider Identifier 1083260467, active.
NPI record
| NPI | 1083260467 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 8120 Sheridan Blvd Ste 315c, Arvada, CO 80003 |
| Practice phone | 815-988-9908 |
| Mailing address | 109 W Beverly Ct, Peoria, IL 61604 |
| Enumerated | August 12, 2019 |
| Last updated | January 24, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.