Organization Active NPI

Dietitian to Go

  • Registered Dietitian
  • Springfield, MO
National Provider Identifier
1710369632
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2013038251 Issued in MO
Legal business name
DIETITIAN TO GO
Practice address
214 E Apache Dr
Springfield, MO 65810-3200
Phone
(417) 860-1368
NPI assigned
Jun 27, 2015
Last updated
Jun 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2015

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

Authorized official

Name
Brittany Ann Carpenter, RD, LD
Title
Ceo
Phone
(417) 860-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2013038251 MO Primary

Addresses

Primary practice location

214 E Apache Dr
Springfield, MO 65810-3200

Mailing address

214 E Apache Dr
Springfield, MO 65810-3200
Phone (417) 860-1368

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1710369632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E APACHE DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658103200",
            "telephone_number": "417-860-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E APACHE DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658103200",
            "telephone_number": "417-860-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIAN TO GO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-860-1368",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2013038251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.