NPI 1225768898 · live from the CMS NPI Registry
Raya Jayne Beerbower, RDN
Dietitian, Registered in Fort Wayne, IN. National Provider Identifier 1225768898, active.
NPI record
| NPI | 1225768898 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1234 E Dupont Rd Ste 1, Fort Wayne, IN 46825 |
| Practice phone | 260-425-6390 |
| Mailing address | 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845 |
| Enumerated | June 15, 2022 |
| Last updated | July 28, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37003516A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.