NPI 1487948733 · live from the CMS NPI Registry
Penny Jean Atkinson, R.D., C.D.E
Dietitian, Registered in Fort Wayne, IN. National Provider Identifier 1487948733, active.
NPI record
| NPI | 1487948733 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4930 Illinois Rd, Fort Wayne, IN 46804 |
| Practice phone | 260-341-2923 |
| Mailing address | 14610 Waterbrook Rd, Fort Wayne, IN 46814 |
| Enumerated | June 3, 2011 |
| Last updated | June 3, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37001912A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.