Connie L Packer, MS, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

6324049-4901 Issued in UT

Practice address

910 E 100 N
Suite 105
Payson, UT 84651-1635

Phone

(801) 857-7440

Fax

(866) 340-7791

NPI assigned

Dec 9, 2009

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Family Nutrition Services, LLC

  • Registered Dietitian
  • Payson, UT
  • NPI 1275862807
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1023347739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 S 1230 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605531",
            "telephone_number": "801-857-7440",
            "fax_number": "866-340-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 100 N",
            "address_2": "SUITE 105",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511635",
            "telephone_number": "801-857-7440",
            "fax_number": "866-340-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "CONNIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "6324049-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Anne Oaks, NP
• Ashlyn Elizabeth Ockey
• Jedidiah Dunbar Oldham, DO
• Orchard Eye Center LLC (Orchard Eye Center)
• Josie Carolyn Osborn, CMHC
• Benjamin William Palmer
• Devan Kwinn Partridge, DO
• Payson Chiropractic Inc
• Payson City Ambulance
• Payson City Corporation (Payson City Ambulance)

• Registered Dietitian in Payson, UT
• Providers in Payson, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.