Jana Borgmeyer, RD, LD

Individual provider Active NPI Registered Dietitian · Leavenworth, KS

NPI 1508939117 · NPPES record last updated Jul 11, 2007

Key facts

NPI
1508939117
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1136 (KS)
Practice address
4101 S 4TH St
L-120
Leavenworth, KS 66048-5014
Phone
(913) 682-2000
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1136KSMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1136 KS Yes

Addresses

Primary practice location

4101 S 4TH St
L-120
Leavenworth, KS 66048-5014

Mailing address

21321 W 55TH Ter
Shawnee, KS 66218-9368

Other providers in Leavenworth, KS

All providers in Leavenworth, KS · Registered Dietitian in Kansas

Sources for this page

Verify at the official NPI Registry.