NPI 1568346997 · live from the CMS NPI Registry
Jessica Rodriguez
Dietitian, Registered in Cheyenne, WY. National Provider Identifier 1568346997, active.
NPI record
| NPI | 1568346997 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 214 E 23rd St, Cheyenne, WY 82001 |
| Practice phone | 970-405-9059 |
| Mailing address | 2108 60th Ave, Greeley, CO 80634 |
| Enumerated | July 31, 2025 |
| Last updated | July 31, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 8639341 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.