NPI 1811097686 · live from the CMS NPI Registry
Jennifer Lynn Anderson, RD, LD, CDE
Dietitian, Registered in Columbia, MO. National Provider Identifier 1811097686, active.
NPI record
| NPI | 1811097686 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1701 E Broadway, Columbia, MO 65201 |
| Practice phone | 573-815-2649 |
| Mailing address | 4108 Spring Cress Drive, Columbia, MO 65202 |
| Enumerated | September 22, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
| Other names | Jennifer Meisenheimer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2006025021 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.