Individual provider Active NPI

Isabella Marie Cova, MS, RDN, LD

  • Registered Dietitian
  • Columbia, MO
National Provider Identifier
1366225476
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2018024311 Issued in MO
Practice address
1905 Cherry Hill Dr Ste 300
Columbia, MO 65203-5812
Phone
(573) 343-4017
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164007916 IL
Registered Dietitian 133V00000X 2593 KS
Registered Dietitian 133V00000X 1599 NE
Registered Dietitian 133V00000X 2018024311 MO Primary

Addresses

Primary practice location

1905 Cherry Hill Dr Ste 300
Columbia, MO 65203-5812

Mailing address

9330 Lenard CT
Affton, MO 63123-4435
Phone (314) 445-8993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164007916ILMDRegistered Dietitian
2593KSMDRegistered Dietitian
2018024311MOMDRegistered Dietitian
1599NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bamboo Nutrition, LLC Dietitian, Registered PastSince Aug 27, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1366225476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LENARD CT",
            "city": "AFFTON",
            "state": "MO",
            "postal_code": "631234435",
            "telephone_number": "314-445-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CHERRY HILL DR STE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035812",
            "telephone_number": "573-343-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVA",
        "first_name": "ISABELLA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164007916",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2593",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "1599",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2018024311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.