Active NPI
Isabella Marie Cova, MS, RDN, LD
- Registered Dietitian
- Columbia, MO
National Provider Identifier
1366225476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2018024311
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 164007916 | IL | MD | Registered Dietitian |
| 2593 | KS | MD | Registered Dietitian |
| 2018024311 | MO | MD | Registered Dietitian |
| 1599 | NE | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bamboo Nutrition, LLC | Dietitian, Registered | Past | 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.