Eva Marie McCormick, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

15945 Clayton Rd Ste 310
Ballwin, MO 63011-2493

Phone

(636) 893-1356

NPI assigned

Oct 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1538822648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 DOVERGATE DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222403",
            "telephone_number": "618-294-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CLAYTON RD STE 310",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112493",
            "telephone_number": "636-893-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "EVA",
        "middle_name": "MARIE",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "address_1": "15945 Clayton Rd Ste 310",
            "city": "Ballwin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630112493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Patrick McCarthy, DDS
• Lindsey M McCarthy, FNP
• Martin Barry McClintock, MD
• Patricia McClurg, PTA
• Nancy C McCormac, PT
• Nanane McDermott
• Amy R McDonough, RPH
• Ashley Marie McFadden, P.T.
• Kelley M McGaughey, PT
• Lisa M. McGivern, CRNA

• Registered Dietitian in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.