NPI 1639795727 · live from the CMS NPI Registry
Bamboo Nutrition, LLC
Dietitian, Registered in Columbia, MO. National Provider Identifier 1639795727, active.
NPI record
| NPI | 1639795727 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1905 Cherry Hill Dr Ste 300, Columbia, MO 65203 |
| Practice phone | 573-343-4017 |
| Mailing address | 2012 Cherry Hill Dr Ste 202b, Columbia, MO 65203 |
| Enumerated | June 24, 2020 |
| Last updated | January 27, 2026 |
| Authorized official | Isabelle Bouchard, Owner |
| Other names | Bamboo Nutrition |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.