Mary Malvina Means, RD LD MA
Individual provider Active NPI Registered Dietitian · Tama, IA
NPI 1124207907 · NPPES record last updated Oct 30, 2007
Key facts
- NPI
- 1124207907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 01415 (IA)
- Practice address
- 307 Meskwaki Rd
Tama, IA 52339-9634 - Phone
- (641) 484-4094
- NPI assigned
- Oct 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sac & Fox of the Miss in Iowa | Past | Accepting new patients | |
| CR Pharmacy Service, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01415 | IA | Yes |
Addresses
Primary practice location
307 Meskwaki Rd
Tama, IA 52339-9634
Mailing address
307 Meskwaki Rd
Tama, IA 52339-9634
Phone (641) 484-4094
Other providers in Tama, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.