Active NPI
Macie Oswald, RD, RDN
- Registered Dietitian
- O Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2024045780
- Practice address
- 1913 Rolling River Cir
O Fallon, MO 63366-1797 - Phone
- (573) 270-5281
- NPI assigned
- Nov 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2024045780 | MO | Primary |
Addresses
Primary practice location
1913 Rolling River Cir
O Fallon, MO 63366-1797
Mailing address
1913 Rolling River Cir
O Fallon, MO 63366-1797
Phone (573) 270-5281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024045780 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
515 S Flower St
#1015
Los Angeles, CA 90071
250 Fillmore St
Unit 150
Denver, CO 80206
Phone (410) 505-0521
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
10260 SW Greenburg Rd
Fl 44
Portland, OR 97223
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1750107280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 ROLLING RIVER CIR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633661797",
"telephone_number": "573-270-5281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 ROLLING RIVER CIR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633661797",
"telephone_number": "573-270-5281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSWALD",
"first_name": "MACIE",
"credential": "RD, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-30",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2024045780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.