NPI 1760834550 · live from the CMS NPI Registry
Tareena Mattson, RD
Dietitian, Registered in Bismarck, ND. National Provider Identifier 1760834550, active.
NPI record
| NPI | 1760834550 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 222 N 7th St, Bismarck, ND 58501 |
| Practice phone | 701-323-6000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | July 6, 2016 |
| Last updated | June 14, 2024 |
| Sole proprietor | No |
| Other names | Tareena Johnson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1050 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.