NPI 1700096039 · live from the CMS NPI Registry
Carol Ann Ackerman, RD LD
Dietitian, Registered in Carmi, IL. National Provider Identifier 1700096039, active.
NPI record
| NPI | 1700096039 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1530 County Road 1100 N, Carmi, IL 62821 |
| Practice phone | 618-382-8818 |
| Enumerated | May 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164001640 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.