Ghaida Awwad, RDN
Individual provider Active NPI Registered Dietitian · O Fallon, MO
NPI 1467110320 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1467110320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86051892 (MO)
- Practice address
- 1012 Rock Creek Elementary School Dr
O Fallon, MO 63366-7576 - Phone
- (314) 736-8686
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 86051892 | MO | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86051892 | MO | Yes |
Addresses
Primary practice location
1012 Rock Creek Elementary School Dr
O Fallon, MO 63366-7576
Mailing address
1012 Rock Creek Elementary School Dr
O Fallon, MO 63366-7576
Phone (314) 736-8686
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All providers in O Fallon, MO · Registered Dietitian in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. 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.