NPI 1255282273 · live from the CMS NPI Registry
Audrey Glenn Boettcher, RDN
Dietitian, Registered in Austin, TX. National Provider Identifier 1255282273, active.
NPI record
| NPI | 1255282273 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3724 Jefferson St Ste 104, Austin, TX 78731 |
| Practice phone | 512-693-7045 |
| Mailing address | 5512 29th Ave S, Minneapolis, MN 55417 |
| Enumerated | February 5, 2026 |
| Last updated | February 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.