Patricia Ruzicka, RD, LD
Individual provider Active NPI Registered Dietitian · Berkeley, MO
NPI 1174993646 · NPPES record last updated Sep 28, 2015
Key facts
- NPI
- 1174993646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2014033918 (MO)
- Practice address
- 6121 N Hanley Rd
Berkeley, MO 63134-2003 - Phone
- (314) 615-0557
- NPI assigned
- Sep 28, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014033918 | MO | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2014033918 | MO | Yes |
Addresses
Primary practice location
6121 N Hanley Rd
Berkeley, MO 63134-2003
Mailing address
4547 Gibson Ave
Saint Louis, MO 63110-1519
Other providers in Berkeley, MO
- Lauren Pyatt
- Reliant in Home Health Services Inc
- Corazon J Reyes
- Jonathan M Richert
- Pamela Jean Russell
- Omnia Salem
- Maliyha Sade Satterwhite
- Bernadette Sheffield
- Cayla Christine Slaughter
- Philip Snipes
All providers in Berkeley, MO · Registered Dietitian in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.