NPI 1932250859 · live from the CMS NPI Registry
Paula Marie Antonacci
Dietitian, Registered in Kansas City, MO. National Provider Identifier 1932250859, active.
NPI record
| NPI | 1932250859 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 9229 Ward Parkway, Suite 225, Kansas City, MO 64114 |
| Practice phone | 816-444-5511 |
| Enumerated | January 16, 2007 |
| Last updated | February 26, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2001010244 (MO) |
| Dietitian, Registered | 133V00000X | 000038 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.