NPI 1811653629 · live from the CMS NPI Registry
Alexa Jade Sikora, RD
Dietitian, Registered in Cheyenne, WY. National Provider Identifier 1811653629, active.
NPI record
| NPI | 1811653629 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 214 E 23rd St, Cheyenne, WY 82001 |
| Practice phone | 307-634-2273 |
| Mailing address | 2415 Lusitano Ln Apt 108, Fort Collins, CO 80525 |
| Enumerated | November 16, 2021 |
| Last updated | December 5, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 394 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.