Cassandra Dimmick, RD, LD, CSSD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

Practice address

1311 E Republic Rd Ste a
Springfield, MO 65804-7204

Phone

(417) 720-3670

NPI assigned

Feb 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Achieving Your Best

  • Registered Dietitian
  • Springfield, MO
  • NPI 1811622632

  Dietitian, Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1306542121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E REPUBLIC RD STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E REPUBLIC RD STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047204",
            "telephone_number": "417-720-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMMICK",
        "first_name": "CASSANDRA",
        "credential": "RD, LD, CSSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany M Dillon, CAA
• Joseph C Dills, DDS
• Antonio S. Dimalanta, MD
• Amanda Dimartini, MA, LPC
• Dimmick Laughlin Dermatology LLC
• Joshua Ryan Dimmick, MD
• Jenna Yvonne Dinapoli, PA-C
• Jiantao Ding, MD
• Amanda Jo Dinsmore, MD
• Kimberly E Dionysus, PSYD

• Sports Dietetics Nutrition Registered Dietitian in Springfield, MO
• Providers in Springfield, MO by specialty
• Sports Dietetics Nutrition Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.