Barbara Jean Taylor, MS, RD, LD

Individual provider Active NPI Registered Dietitian · Marengo, IA

NPI 1063744779 · NPPES record last updated Feb 4, 2010

Key facts

NPI
1063744779
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
00505 (IA)
Practice address
300 W May St
Marengo, IA 52301-1261
Phone
(319) 642-8092
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00505IAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 00505 IA Yes

Addresses

Primary practice location

300 W May St
Marengo, IA 52301-1261

Mailing address

2709 1St Ave E
Newton, IA 50208-2702
Phone (641) 792-6990

Other providers in Marengo, IA

All providers in Marengo, IA · Registered Dietitian in Iowa

Sources for this page

Verify at the official NPI Registry.