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INFANT TODDLER SERVICES OF JOHNSON COUNTY NPI 1124153424


NPI Information

NPI: 1124153424
Provider Name: INFANT TODDLER SERVICES OF JOHNSON COUNTY
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Organization

Specialization: Nutrition, Pediatric

Address:
6400 GLENWOOD ST
SUITE 205
OVERLAND PARK, KS
ZIP 66202
Phone: (913) 432-2900
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INFANT TODDLER SERVICES OF JOHNSON COUNTY is a nutrition and pediatric dietitian registered in Overland Park, KS. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. INFANT TODDLER SERVICES OF JOHNSON COUNTY NPI is 1124153424. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6400 GLENWOOD ST
SUITE 205
OVERLAND PARK, KS
ZIP 66202-016
Phone: (913) 432-2900
Fax: (913) 432-2901

The provider's authorized official is Amy Owens .
The authorized official title is Director and has the following contact phone number (913) 432-2900.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.


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
1133VN1004XDietitian, RegisteredNutrition, PediatricYes
22251P0200XPhysical TherapistPediatricsX
3225XP0200XOccupational TherapistPediatricsX
4235Z00000XSpeech-Language PathologistX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134084017OTHERMISSOURIBCBS OF KANSAS CITY GROUP

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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