Maxine Jeanette Pence, LD, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2025032992 Issued in MO

Practice address

1023 Eastview Dr
Kirkwood, MO 63122-6916

Phone

(314) 893-8818

NPI assigned

Feb 11, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1619829769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 EASTVIEW DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226916",
            "telephone_number": "314-893-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 EASTVIEW DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226916",
            "telephone_number": "314-893-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "MAXINE",
        "middle_name": "JEANETTE",
        "credential": "LD, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2025032992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles William Pearson
• William Edward Pearson, M.D.
• Pedaitric Dental and Orthodontic Associates of St Louis
• Amanda Peiffer, D.C.
• Caroline Penberthy, M.S.W., L.C.S.W.
• Mallory A. Perry, M.A., L.P.C.
• Rachel A Peterka
• Rachel Phillips, DPT
• Russell W Pickett, AU.D.
• Sherry Kay Pickett, AU.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.