Advanced Medical Solutions LLC
Organization Active NPI Registered Dietitian · Earth City, MO
NPI 1861674871 · NPPES record last updated Oct 3, 2013
Key facts
- NPI
- 1861674871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2005037494 (MO)
- Legal business name
- ADVANCED MEDICAL SOLUTIONS LLC
- Practice address
- 13400 Lakefront Dr
Earth City, MO 63045-1516 - Phone
- (314) 291-2900
- Fax
- (800) 508-8491
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Edwin L Warren
- Title
- General Partner
- Phone
- (314) 291-2900
Member of 1
Practitioners 4
-
Rachel Ann Matusiak, M.S., R.D., L.D.
-
Stephanie Minghi, RD, LD
-
Kellee Ann Marshall, RD, LD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 2005037494 | MO | Yes |
Addresses
Primary practice location
13400 Lakefront Dr
Earth City, MO 63045-1516
Mailing address
PO Box 879
Bridgeton, MO 63044-0879
Phone (314) 291-2900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861674871 | Other | AETNA | |
| 1861674871 | Other | CARE IMPROVEMENT PLUS | |
| DT1640 | Other | RAILROAD MEDICARE | |
| 1861674871 | Other | MO | WELLCARE OF MISSOURI |
| 1861674871 | Medicaid | MO | |
| 1861674871 | Other | CIGNA | |
| 1861674871 | Other | MO | ESSENCE |
| 1861674871 | Other | COVENTRY HEALTHCARE |
Other names
- Insight Dietitians
Other providers in Earth City, MO
All providers in Earth City, 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 3, 2013. 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.