Karen E. From, RDN
Individual provider Active NPI Registered Dietitian · Maryville, MO
NPI 1679339162 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1679339162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2014006998 (MO)
- Practice address
- 33928 Ideal Rd
Maryville, MO 64468-7501 - Phone
- (660) 528-0731
- NPI assigned
- Feb 22, 2024
- 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 |
|---|---|---|---|
| 2014006998 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2014006998 | MO | Yes |
Addresses
Primary practice location
33928 Ideal Rd
Maryville, MO 64468-7501
Mailing address
33928 Ideal Rd
Maryville, MO 64468-7501
Phone (660) 528-0731
Other providers in Maryville, MO
- Jack L Forest
- Joshua Wayne Foster
- Fox Ridge Wellness & Rehabilitation LLC
- David A Fox II
- Kyle Jordan Frerking
- Judy D Frueh
- Rosvic Galapin
- Michael Gard
- Jeffry Paul Gardner
- Gentle Dental Care, LLC
All providers in Maryville, 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 Feb 26, 2024. 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.