Ellie Huff, RD, LD, CSCS

Individual provider Active NPI Registered Dietitian · Frontenac, MO

NPI 1174147227 · NPPES record last updated Jun 4, 2020

Key facts

NPI
1174147227
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2017001565 (MO)
Practice address
10407 Clayton Rd
Frontenac, MO 63131-2909
Phone
(314) 609-6835
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
2017001565MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutriformance Past
since Jun 7, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2017001565 MO Yes

Addresses

Primary practice location

10407 Clayton Rd
Frontenac, MO 63131-2909

Mailing address

10407 Clayton Rd
Frontenac, MO 63131-2909
Phone (314) 609-6835

Other providers in Frontenac, MO

All providers in Frontenac, MO · Registered Dietitian in Missouri

Sources for this page

Verify at the official NPI Registry.