NPI 1750404042 · live from the CMS NPI Registry
Jamie Bommarito, rd, ld
Dietitian, Registered in Saint Louis, MO. National Provider Identifier 1750404042, active.
NPI record
| NPI | 1750404042 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6013 Marquette Ave, Saint Louis, MO 63139 |
| Practice phone | 314-443-3671 |
| Enumerated | April 9, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 931980 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.