OPEN TABLE NUTRITION LLC NPI 1972420123

NPI Information

  • NPI: 1972420123
  • Provider Name: OPEN TABLE NUTRITION LLC
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 117 S LEXINGTON ST STE 100
    HARRISONVILLE, MO
    ZIP 64701
  • Phone: (314) 282-5181

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NPI Details

OPEN TABLE NUTRITION LLC is a dietitian registered in Harrisonville, 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. OPEN TABLE NUTRITION LLC NPI is 1972420123. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

117 S LEXINGTON ST STE 100
HARRISONVILLE, MO
ZIP 64701-443
Phone: (314) 282-5181

The provider's authorized official is Jaclyn Alvarez .
The authorized official title is Authorized Official and has the following contact phone number (918) 282-6313.

The enumeration date for this NPI number is 6/30/2026 and was last updated on 6/30/2026.

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
1133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
2133V00000XDietitian, RegisteredYes

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

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