Individual provider Active NPI

Courtney Watring, RD

  • Registered Dietitian
  • High Ridge, MO
National Provider Identifier
1245848357
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2338 Little Antire Rd
High Ridge, MO 63049-2001
Phone
(573) 259-4351
NPI assigned
Jul 15, 2020
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2338 Little Antire Rd
High Ridge, MO 63049-2001

Mailing address

2338 Little Antire Rd
High Ridge, MO 63049-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912004044 IL Practitioner - Registered Dietitian Or Nutrition Professional 6406248244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

232 Peach Tree LN
Sullivan, MO 63080-5601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthier Tomorrows, PLLC Dietitian, Registered CurrentSince Jun 9, 2025 Accepting new patients
Sparkman Nutrition, LLC Dietitian, Registered CurrentSince May 27, 2024 Accepting new patients
Wilfong Nutrition Limited Liability Company Dietitian, Registered Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

2551 N Clark St
Ste 400
Chicago, IL 60614
Phone (312) 533-1754

4501 Spicewood Springs Rd
Ste 1022
Austin, TX 78759
Phone (512) 257-0898

Organizations & group practices 4

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1245848357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 LITTLE ANTIRE RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 LITTLE ANTIRE RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492001",
            "telephone_number": "573-259-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATRING",
        "first_name": "COURTNEY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Ridge, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.