Anne Nicole Kendrick, RDN
Individual provider Active NPI Registered Dietitian · Bluffdale, UT
NPI 1407259609 · NPPES record last updated Oct 1, 2014
Key facts
- NPI
- 1407259609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 8321366-4901 (UT)
- Practice address
- 2946 W 14400 S
Bluffdale, UT 84065-5008 - Phone
- (801) 673-3238
- NPI assigned
- Oct 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8321366-4901 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 8321366-4901 | UT | Yes |
Addresses
Primary practice location
2946 W 14400 S
Bluffdale, UT 84065-5008
Mailing address
2946 W 14400 S
Bluffdale, UT 84065-5008
Phone (801) 673-3238
Other providers in Bluffdale, UT
- Fabio Kazuo Dantas Higuchi
- Illuminate Holdings LLC
- Inspire Addiction Recovery LLC
- Hilary Alexandria Jensen
- Amy Juntunen
- William Kitchen
- Hunter Lynn Kopfman
- Mason Krey
- Kathleen M Langer
- Adam Lecroy
All providers in Bluffdale, UT · Registered Dietitian in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.