NPI 1174087605 · live from the CMS NPI Registry
Annie L Jacobson, RDN, LN
Dietitian, Registered in Aberdeen, SD. National Provider Identifier 1174087605, active.
NPI record
| NPI | 1174087605 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3015 3rd Ave Se, Aberdeen, SD 57401 |
| Practice phone | 605-226-5500 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | January 29, 2019 |
| Last updated | December 6, 2024 |
| Sole proprietor | No |
| Other names | Annie Bertrand |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | 0358 (SD) |
| Dietitian, Registered | 133V00000X | 1066 (ND) |
| Dietitian, Registered | 133V00000X | 998682 |
| Dietitian, Registered primary | 133V00000X | 0358 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.