Active NPI
Sonya Renee Aversman, RD
- Registered Dietitian
- Lee's Summit, MO
National Provider Identifier
1073014676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2011013518
- Practice address
- 3680 NE Akin Dr
Suite 134
Lee's Summit, MO 64064 - Phone
- (816) 679-0186
- NPI assigned
- Feb 28, 2018
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2011013518 | MO | Primary |
Addresses
Primary practice location
3680 NE Akin Dr
Suite 134
Lee's Summit, MO 64064
Mailing address
8909 S Hardsaw Rd
Lone Jack, MO 64070
Phone (816) 679-0186
Other names 1
- Sonya Renee Cox
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011013518 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073014676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8909 S HARDSAW RD",
"city": "LONE JACK",
"state": "MO",
"postal_code": "64070",
"telephone_number": "816-679-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 NE AKIN DR",
"address_2": "SUITE 134",
"city": "LEE'S SUMMIT",
"state": "MO",
"postal_code": "64064",
"telephone_number": "816-679-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERSMAN",
"first_name": "SONYA",
"middle_name": "RENEE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2011013518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONYA",
"last_name": "COX",
"middle_name": "RENEE",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.