Jennifer Lynn Anderson, RD, LD, CDE
Individual provider Active NPI Registered Dietitian · Columbia, MO
NPI 1811097686 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811097686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2006025021 (MO)
- Practice address
- 1701 E Broadway
Columbia, MO 65201-8018 - Phone
- (573) 815-2649
- Fax
- (573) 815-3816
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006025021 | MO | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2006025021 | MO | Yes |
Addresses
Primary practice location
1701 E Broadway
Columbia, MO 65201-8018
Mailing address
4108 Spring Cress Drive
Columbia, MO 65202
Phone (573) 514-4743
Other names
- Jennifer Meisenheimer
Other providers in Columbia, MO
- Daniel William Anderson
- Devon Anderson
- Ethan Scott Anderson
- Heather Nicole Anderson
- Jennifer Anderson
- Jennifer Rachel Anderson
- Joseph Anderson
- Kim Marie Anderson
- Lauren Anderson
- Lauren Anderson
All providers in Columbia, 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 Jul 8, 2007. 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.