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KANSAS CITY DIETITIAN LLC NPI 1376190678


NPI Information

NPI: 1376190678
Provider Name: KANSAS CITY DIETITIAN LLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization

CLIA Number: 17D2247545

Address:
6240 W 156TH ST
OVERLAND PARK, KS
ZIP 66223
Phone: (816) 695-8245
Get Directions

KANSAS CITY DIETITIAN LLC is a dietitian registered in Overland Park, KS. 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. KANSAS CITY DIETITIAN LLC NPI is 1376190678. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6240 W 156TH ST
OVERLAND PARK, KS
ZIP 66223-621
Phone: (816) 695-8245
Fax: (844) 692-5186

The provider's authorized official is Bethany Frazier .
The authorized official title is Owner and has the following contact phone number (816) 695-8245.

The CLIA number assigned to this NPI record is 17D2247545 - prison with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/21/2019 and was last updated on 5/23/2021.


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
1133V00000XDietitian, RegisteredYes

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
11043650609OTHERNPI
21417203076OTHERNPI
31417388133OTHERNPI
41891101309OTHERNPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.