NPI 1306685706 · live from the CMS NPI Registry
Heather L Booth, RD
Dietitian, Registered in Springfield, MO. National Provider Identifier 1306685706, active.
NPI record
| NPI | 1306685706 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 440 E Tampa St, Springfield, MO 65806 |
| Practice phone | 417-831-0150 |
| Enumerated | May 23, 2024 |
| Last updated | May 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2011031075 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.