Julie Ann Przybyla, MS RD LDN

Individual provider Active NPI Registered Dietitian · O Fallon, MO

NPI 1144579574 · NPPES record last updated Jul 2, 2025

Key facts

NPI
1144579574
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
L004030 (NC)
Practice address
1001 Boardwalk Springs PL Ste 111
O Fallon, MO 63368-4777
Phone
(314) 391-4082
Fax
(314) 391-4093
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L004030NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Przybyla Integrative Coaching, LLC Dietitian, Registered Current
since Mar 3, 2024
Accepting new patients

Locations

1001 Boardwalk Springs Pl
Ste 111
O Fallon, MO 63368
Phone (636) 362-6343

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L004030 NC Yes

Addresses

Primary practice location

1001 Boardwalk Springs PL Ste 111
O Fallon, MO 63368-4777

Mailing address

1 Andrew CT
O Fallon, MO 63368-9718
Phone (636) 542-2297

Other providers in O Fallon, MO

All providers in O Fallon, MO · Registered Dietitian in Missouri

Sources for this page

Verify at the official NPI Registry.