Active NPI
Aubrey Jeaney Monical, RD
- Registered Dietitian
- Saint Joseph, MO
National Provider Identifier
1124543459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86084544
- Practice address
- 2303 Village Dr
Saint Joseph, MO 64506-4954 - Phone
- (816) 232-6818
- NPI assigned
- Aug 8, 2017
- 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 | 86084544 | MO | Primary |
Addresses
Primary practice location
2303 Village Dr
Saint Joseph, MO 64506-4954
Mailing address
2303 Village Dr
Saint Joseph, MO 64506-4954
Phone (816) 232-6818
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86084544 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1124543459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 VILLAGE DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645064954",
"telephone_number": "816-232-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 VILLAGE DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645064954",
"telephone_number": "816-232-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONICAL",
"first_name": "AUBREY",
"middle_name": "JEANEY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "86084544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.