Active NPI
Emily Diane Mertensmeyer, MS, RD, LD
- Registered Dietitian
- Osage Beach, MO
National Provider Identifier
1043451859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 200603859
- Practice address
- 54 Hospital Dr
Osage Beach, MO 65065-3050 - Phone
- (573) 302-2747
- Fax
- (573) 302-2755
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 200603859 | MO | Primary |
| Registered Dietitian | 133V00000X | 952085 |
Addresses
Primary practice location
54 Hospital Dr
Osage Beach, MO 65065-3050
Mailing address
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 302-2747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200603859 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1043451859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 HOSPITAL DR",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653050",
"telephone_number": "573-302-2747",
"fax_number": "573-302-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 HOSPITAL DR",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653050",
"telephone_number": "573-302-2747",
"fax_number": "573-302-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTENSMEYER",
"first_name": "EMILY",
"middle_name": "DIANE",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "200603859",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "952085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osage Beach, MO
- Medical Management of Osage Beach, Inc.
- Larry S Meeker, MS,PT
- Kevin Joseph Meglan, MPT
- Mental Wellness, LLC
- Suzanne Marie Mericle, LCSW
- Jan Elizabeth Michaelree, MS, CCC/SLP-L
- Mid-Missouri ENT and Facial Plastic Surgery Specialists Inc.
- April Lynn Miller, APRN-FNP
- Haven Miner, PTA
- Missouri CVS Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.