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MOTHERS' MILK BANK AT AUSTIN NPI 1154454833


NPI Information

NPI: 1154454833
Provider Name: MOTHERS' MILK BANK AT AUSTIN
Classification: Dietary Manager - 132700000X
Entity Type: Organization
Address:
5925 DILLARD CIRCLE
AUSTIN, TX
ZIP 78752
Phone: (512) 494-0800
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MOTHERS' MILK BANK AT AUSTIN is a dietary manager in Austin, TX. The provider is a dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. MOTHERS' MILK BANK AT AUSTIN NPI is 1154454833. The provider is registered as an organization entity type.

The provider's business location address is:

5925 DILLARD CIRCLE
AUSTIN, TX
ZIP 78752
Phone: (512) 494-0800
Fax: (512) 494-0880

The provider's authorized official is Kimberly Updegrove .
The authorized official title is Executive Director and has the following contact phone number (512) 494-0800.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 3/29/2021.


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
1251V00000XVoluntary or CharitableNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3132700000XDietary ManagerYes

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
10057887-01MEDICAIDTEXAS

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

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