NPI 1164872321 · live from the CMS NPI Registry
Jessica Bergers, RD, CDE
Dietitian, Registered in Wyoming, MI. National Provider Identifier 1164872321, active.
NPI record
| NPI | 1164872321 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2215 44th St Sw, Wyoming, MI 49519 |
| Practice phone | 616-252-8339 |
| Enumerated | June 20, 2016 |
| Last updated | November 6, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1054133 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.