NPI 1164210282 · live from the CMS NPI Registry
Carolynn Ann Claussen, RDN, CSSD, LDN
Dietitian, Registered, Nutrition, Sports Dietetics in Kirtland Afb, NM. National Provider Identifier 1164210282, active.
NPI record
| NPI | 1164210282 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Sports Dietetics 133VN1501X |
| Practice location | 2050a 2nd St Se, Kirtland Afb, NM 87117 |
| Practice phone | 505-846-3200 |
| Mailing address | 6100 Cortaderia St Ne Apt 3718, Albuquerque, NM 87111 |
| Enumerated | April 28, 2025 |
| Last updated | June 24, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Sports Dietetics | 133VN1501X | NDP-2025-0048 (NM) |
| Dietitian, Registered, Nutrition, Sports Dietetics primary | 133VN1501X | 164.010524 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.