NPI 1205534021 · live from the CMS NPI Registry
Jesse Anderson, RDN, LD
Dietitian, Registered in Homewood, AL. National Provider Identifier 1205534021, active.
NPI record
| NPI | 1205534021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 234 Goodwin Crest Dr, Homewood, AL 35209 |
| Practice phone | 205-290-4567 |
| Enumerated | February 21, 2023 |
| Last updated | February 21, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 86254087 |
| Dietitian, Registered primary | 133V00000X | 3352 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.