Wellformed AI

NPI 1487599874 · live from the CMS NPI Registry

Constance Nicole Bevirt, RD, LD

Dietitian, Registered in Saint Louis, MO. National Provider Identifier 1487599874, active.

NPI record

NPI1487599874 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location9745 Meadowfern Dr, Saint Louis, MO 63126
Practice phone557-999-3646
EnumeratedApril 21, 2026
Last updatedApril 21, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X2018045142 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.