NPI 1497974117 · live from the CMS NPI Registry
Debra Anne Carlisle, RD, LD, MS
Dietitian, Registered in Raton, NM. National Provider Identifier 1497974117, active.
NPI record
| NPI | 1497974117 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 200 Hospital Dr, Raton, NM 87740 |
| Practice phone | 505-445-7726 |
| Mailing address | 31191 Hwy 64, Po Box 495, Cimarron, NM 87714 |
| Enumerated | April 24, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD 0657 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.