NPI 1497516678 · live from the CMS NPI Registry
Heather Nicole Davis, RDN
Dietitian, Registered in Austin, TX. National Provider Identifier 1497516678, active.
NPI record
| NPI | 1497516678 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3724 Jefferson St Ste 104, Austin, TX 78731 |
| Practice phone | 505-506-7737 |
| Mailing address | Po Box 3280, Edgewood, NM 87015 |
| Enumerated | January 16, 2024 |
| Last updated | January 16, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-1227 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.