Emily Jean Redus, RD, LD
Individual provider Active NPI Registered Dietitian · Monett, MO
NPI 1841832011 · NPPES record last updated Oct 9, 2019
Key facts
- NPI
- 1841832011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2019035307 (MO)
- Practice address
- 801 N Lincoln Ave
Monett, MO 65708-1698 - Phone
- (417) 274-3852
- NPI assigned
- Oct 9, 2019
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019035307 | MO | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2019035307 | MO | Yes |
Addresses
Primary practice location
801 N Lincoln Ave
Monett, MO 65708-1698
Mailing address
801 N Lincoln Ave
Monett, MO 65708-1698
Phone (417) 274-3852
Other providers in Monett, MO
- Sherri Plowman-Mullikin
- Catherine Ann Primrose
- Gloria Pyper
- Jessie Rambo
- Jamie L. Randall
- Regional Services
- Regional Services
- Regional Services
- Regional Services
- Regional Services
All providers in Monett, 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 Oct 9, 2019. 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.