NPI 1235393968 · live from the CMS NPI Registry
Janis Maria Biethman, R.D., L.D.
Dietitian, Registered in Ste Genevieve, MO. National Provider Identifier 1235393968, active.
NPI record
| NPI | 1235393968 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 800 Ste Genevieve Dr, Ste Genevieve, MO 63670 |
| Practice phone | 573-883-2751 |
| Mailing address | 800 Ste Genevieve Dr, P.O. Box 468, Ste Genevieve, MO 63670 |
| Enumerated | July 11, 2008 |
| Last updated | July 11, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2004027853 (MO) |
| Dietitian, Registered | 133V00000X | 164.001367 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.