NPI 1699648402 · live from the CMS NPI Registry
Peter Baartman
Dietitian, Registered in Saint Louis, MO. National Provider Identifier 1699648402, active.
NPI record
| NPI | 1699648402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 10010 Kennerly Rd, Saint Louis, MO 63128 |
| Practice phone | 314-525-1986 |
| Mailing address | 7125 South St Apt 203, Maplewood, MO 63143 |
| Enumerated | September 26, 2025 |
| Last updated | September 26, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2025031804 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.