NPI 1821649294 · live from the CMS NPI Registry
Kimberly Colegrove, RD
Dietitian, Registered in Reno, NV. National Provider Identifier 1821649294, active.
NPI record
| NPI | 1821649294 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 10085 Double R Blvd Ste 325, Reno, NV 89521 |
| Practice phone | 775-982-5073 |
| Mailing address | 850 Harvard Way, Reno, NV 89502 |
| Enumerated | September 26, 2019 |
| Last updated | October 3, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.