NPI 1215338975 · live from the CMS NPI Registry
Olivia Feaster, R.D., CSG , L.D.
Dietitian, Registered, Nutrition, Gerontological in Sheridan, WY. National Provider Identifier 1215338975, active.
NPI record
| NPI | 1215338975 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Gerontological 133VN1101X |
| Practice location | 1898 Fort Rd, Sheridan, WY 82801 |
| Practice phone | 307-675-3837 |
| Enumerated | September 11, 2014 |
| Last updated | November 26, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 150 (WY) |
| Dietitian, Registered, Nutrition, Gerontological primary | 133VN1101X | 150 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.