NPI 1790405017 · live from the CMS NPI Registry
Debi Hendricks, RD, LD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1790405017, active.
NPI record
| NPI | 1790405017 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 717 Encino Pl Ne Ste 26, Albuquerque, NM 87102 |
| Practice phone | 505-884-4545 |
| Mailing address | 505 Soothing Meadows Dr Ne, Rio Rancho, NM 87144 |
| Enumerated | August 29, 2022 |
| Last updated | August 29, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-1200 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.