NPI 1548073448 · live from the CMS NPI Registry
Jaclyn Lekay Nix Alvarez, MS,RDN,CSOWM
Dietitian, Registered in Saint Louis, MO. National Provider Identifier 1548073448, active.
NPI record
| NPI | 1548073448 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2941 Championship Blvd, Suite LLC, Saint Louis, MO 63129 |
| Practice phone | 314-282-5181 |
| Mailing address | 117 S Lexington St Ste 100, Harrisonville, MO 64701 |
| Enumerated | January 27, 2025 |
| Last updated | August 18, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2017030931 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.