MRS. ALICIA BUTERBAUGH RD LD CDE NPI 1073126389

NPI Information

NPI: 1073126389
Provider Name: MRS. ALICIA BUTERBAUGH, RD, LD, CDE
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
2510 COMMONS BLVD STE 160
BEAVERCREEK, OH
ZIP 45431
Phone: (937) 401-7575
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MRS. Alicia Buterbaugh, RD, LD, CDE is a nutrition and metabolic dietitian registered in Beavercreek, OH with 38 years of experience. MRS. Alicia Buterbaugh, RD, LD, CDE NPI is 1073126389. 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:

2510 COMMONS BLVD STE 160
BEAVERCREEK, OH
ZIP 45431-834
Phone: (937) 401-7575

The enumeration date for this NPI number is 8/26/2020 and was last updated on 4/6/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133V00000X	Dietitian, Registered				No
2	133VN1006X	Dietitian, Registered	Nutrition, Metabolic			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0421279	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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