NPIMap

Organization Active NPI

McDaniel Nutrition Therapy, LLC

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1760022677
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MCDANIEL NUTRITION THERAPY, LLC
Doing business as
McDaniel Nutrition Therapy
Practice address
230 S Bemiston Ave Ste 430
Saint Louis, MO 63105-1907
Phone
(314) 413-1996
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Jennifer McDaniel, MS, RDN, CSSDNPI 1508405788
Title
Registered Dietitian
Phone
(314) 413-1996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

230 S Bemiston Ave Ste 430
Saint Louis, MO 63105-1907

Mailing address

230 S Bemiston Ave Ste 430
Saint Louis, MO 63105-1907
Phone (314) 413-1996

Other names 1

  • McDaniel Nutrition Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

230 S Bemiston Ave
Ste 430
Saint Louis, MO 63105
Phone (314) 413-1996

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1760022677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "314-413-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "314-413-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDANIEL NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "314-413-1996",
        "authorized_official_credential": "MS, RDN, CSSD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDaniel Nutrition Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.