NPI 1679194955 · live from the CMS NPI Registry
Cami Dixon, RDN
Dietitian, Registered in Burley, ID. National Provider Identifier 1679194955, active.
NPI record
| NPI | 1679194955 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1501 Hiland Ave, Burley, ID 83318 |
| Practice phone | 208-677-6290 |
| Mailing address | 516 E 200 S, Burley, ID 83318 |
| Enumerated | April 28, 2020 |
| Last updated | April 28, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 932527 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.