NPI 1740952050 · live from the CMS NPI Registry
Mikalah A Barem, RDN
Dietitian, Registered in Spokane, WA. National Provider Identifier 1740952050, active.
NPI record
| NPI | 1740952050 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2020 E 29th Ave Ste 200, Spokane, WA 99203 |
| Practice phone | 888-364-5977 |
| Mailing address | 1295 Bandana Blvd, W Ste 210, St. Paul, MN 55108 |
| Enumerated | October 5, 2021 |
| Last updated | September 5, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DI61197617 (WA) |
| Dietitian, Registered | 133V00000X | LD-D-10257565 (OR) |
| Dietitian, Registered primary | 133V00000X | DI61197617 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.