Danielle Theresa Chavez, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Berkeley, MO
NPI 1679910194 · NPPES record last updated May 23, 2013
Key facts
- NPI
- 1679910194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2010002576 (MO)
- Practice address
- 6121 N Hanley Rd
Berkeley, MO 63134-2003 - Phone
- (314) 679-7830
- Fax
- (314) 679-7983
- NPI assigned
- May 23, 2013
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010002576 | MO | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2010002576 | MO | Yes |
Addresses
Primary practice location
6121 N Hanley Rd
Berkeley, MO 63134-2003
Mailing address
6121 N Hanley Rd
Berkeley, MO 63134-2003
Phone (314) 679-7830
Other providers in Berkeley, MO
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- City of Berkeley
- Tanquerae Kissy-Virginia Cole
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- Amanda Evans
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All providers in Berkeley, 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 May 23, 2013. 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.