Active NPI
Nicole Victoria Dente, RDN
- Registered Dietitian
- Missoula, MT
National Provider Identifier
1164298394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- MED-NUTRI-LIC-59683
- Practice address
- 10830 Grant Creek Rd
Missoula, MT 59808-9345 - Phone
- (619) 870-7168
- NPI assigned
- Nov 29, 2023
- Last updated
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | MED-NUTRI-LIC-59683 | MT | Primary |
Addresses
Primary practice location
10830 Grant Creek Rd
Missoula, MT 59808-9345
Mailing address
10830 Grant Creek Rd
Missoula, MT 59808-9345
Phone (619) 870-7168
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-NUTRI-LIC-59683 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1164298394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10830 GRANT CREEK RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598089345",
"telephone_number": "619-870-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10830 GRANT CREEK RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598089345",
"telephone_number": "619-870-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTE",
"first_name": "NICOLE",
"middle_name": "VICTORIA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "MED-NUTRI-LIC-59683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.