Brooke Alexandra Beck, RD, LD

Individual provider Active NPI Registered Dietitian · Lenexa, KS

NPI 1194447904 · NPPES record last updated Sep 19, 2022

Key facts

NPI
1194447904
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2167 (KS)
Practice address
16979 W 94TH St Ste D
Lenexa, KS 66219-1939
Phone
(913) 725-0099
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

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
2167KSMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2167 KS Yes

Addresses

Primary practice location

16979 W 94TH St Ste D
Lenexa, KS 66219-1939

Mailing address

7652 Madison Ave
Kansas City, MO 64114-1768
Phone (785) 213-3302

Other providers in Lenexa, KS

All providers in Lenexa, KS · Registered Dietitian in Kansas

Sources for this page

Verify at the official NPI Registry.