Active NPI
Beth Barber, RDLD
- Registered Dietitian
- Waterloo, IA
National Provider Identifier
1134520869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01498
- Practice address
- 2834 Ansborough Ave
Waterloo, IA 50701-4418 - Phone
- (319) 233-3266
- NPI assigned
- Sep 12, 2014
- 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 | 01498 | IA | Primary |
Addresses
Primary practice location
2834 Ansborough Ave
Waterloo, IA 50701-4418
Mailing address
2834 Ansborough Ave
Waterloo, IA 50701-4418
Phone (319) 233-3266
Other names 1
- Beth Larson
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 |
|---|---|---|---|
| 01498 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1134520869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2834 ANSBOROUGH AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014418",
"telephone_number": "319-233-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2834 ANSBOROUGH AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014418",
"telephone_number": "319-233-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBER",
"first_name": "BETH",
"credential": "RDLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "LARSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.