NPI 1710648613 · live from the CMS NPI Registry
Alison Beckman
Dietitian, Registered in Des Peres, MO. National Provider Identifier 1710648613, active.
NPI record
| NPI | 1710648613 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 13100 Manchester Rd Ste 175, Des Peres, MO 63131 |
| Practice phone | 314-275-0658 |
| Enumerated | January 4, 2022 |
| Last updated | July 31, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 86050148 (MO) |
| Dietitian, Registered primary | 133V00000X | 2015022098 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.