NPI 1174926349 · live from the CMS NPI Registry
Jessica Biddle
Dietitian, Registered in Indianapolis, IN. National Provider Identifier 1174926349, active.
NPI record
| NPI | 1174926349 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 742 N Bancroft St, Indianapolis, IN 46201 |
| Practice phone | 217-317-3140 |
| Enumerated | October 2, 2014 |
| Last updated | October 2, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 979063 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.