Active NPI
Danielle Pliskow, MS, LD
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1104453406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2020005483
- Practice address
- 20 S Sarah St
Saint Louis, MO 63108-2819 - Phone
- (844) 473-2455
- Fax
- (646) 844-6979
- NPI assigned
- Mar 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2020005483 | MO | Primary |
Addresses
Primary practice location
20 S Sarah St
Saint Louis, MO 63108-2819
Mailing address
20 S Sarah St
Saint Louis, MO 63108-2819
Phone (844) 473-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020005483 | Other | MO | LICENSE DIETITIAN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1104453406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 S SARAH ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082819",
"telephone_number": "844-473-2455",
"fax_number": "646-844-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S SARAH ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082819",
"telephone_number": "844-473-2455",
"fax_number": "646-844-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLISKOW",
"first_name": "DANIELLE",
"credential": "MS, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2020005483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE DIETITIAN",
"identifier": "2020005483",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.