Darice Colglazier, RD, LD
Individual provider Active NPI Registered Dietitian · Scott City, KS
NPI 1740814243 · NPPES record last updated Feb 24, 2020
Key facts
- NPI
- 1740814243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 201 Albert Ave
Scott City, KS 67871-6117 - Phone
- (620) 872-5811
- NPI assigned
- Feb 24, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
201 Albert Ave
Scott City, KS 67871-6117
Mailing address
201 Albert Ave
Scott City, KS 67871-6117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86156732 | Medicaid | KS |
Other providers in Scott City, KS
- Bethany Carrillo
- Case Management by Kris LLC
- Central Care, PA
- Moyi Chang
- Dick L Cockerill
- Audrey Dawn Compton
- County of Scott
- Christian E. Cupp
- Meredith Cupp
- Megan Dirks
All providers in Scott City, KS · Registered Dietitian in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2020. 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.