BAMBOO NUTRITION LLC NPI 1639795727

NPI Information

  • NPI: 1639795727
  • Provider Name: BAMBOO NUTRITION, LLC
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 1905 CHERRY HILL DR STE 300
    COLUMBIA, MO
    ZIP 65203
  • Phone: (573) 343-4017

Map and Directions

Get Directions

NPI Details

BAMBOO NUTRITION, LLC is a dietitian registered in Columbia, MO. 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. BAMBOO NUTRITION, LLC NPI is 1639795727. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1905 CHERRY HILL DR STE 300
COLUMBIA, MO
ZIP 65203-812
Phone: (573) 343-4017
Fax: (573) 615-4443

The provider's authorized official is Isabelle Bouchard .
The authorized official title is Owner and has the following contact phone number (573) 343-4017.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 1/27/2026.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12017032772OTHERMISSOURIMISSOURI DIVISION OF PROFESSIONAL REGISTRATION
22018035632OTHERMISSOURIMISSOURI DIVISION OF PROFESSIONAL REGISTRATION

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI