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MS. PAMELA J NICHOLSON RD LDN NPI 1033574967


NPI Information

NPI: 1033574967
Provider Name: MS. PAMELA J NICHOLSON, RD, LDN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226
Phone: (618) 257-4377
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MS. Pamela J Nicholson, RD, LDN is a dietitian registered in Belleville, IL. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MS. Pamela J Nicholson, RD, LDN NPI is 1033574967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226-360
Phone: (618) 257-4377
Fax: (618) 257-6616

The enumeration date for this NPI number is 12/18/2015 and was last updated on 12/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered164.000914ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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