NPI 1720629975 · live from the CMS NPI Registry
Krista Beyer, MS, RD, LDN
Dietitian, Registered in Saint Louis, MO. National Provider Identifier 1720629975, active.
NPI record
| NPI | 1720629975 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3518 Laclede Ave, Saint Louis, MO 63103 |
| Practice phone | 901-267-3501 |
| Mailing address | 1108 Bonhomme Lake Dr Apt E, Olivette, MO 63132 |
| Enumerated | September 30, 2019 |
| Last updated | September 30, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | L005609 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.