Individual provider Active NPI

Victoria Chouklina, RDN, LDN

  • Registered Dietitian
  • Columbia, MO
National Provider Identifier
1912740846
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1042045 Issued in MO
Practice address
405 E Nifong Blvd
Columbia, MO 65201-3708
Phone
(573) 442-8595
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1042045 MO Primary

Addresses

Primary practice location

405 E Nifong Blvd
Columbia, MO 65201-3708

Mailing address

1208 Grace LN
Boonville, MO 65233-2143
Phone (314) 971-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11201 N Tatum Blvd
Suite 300
Phoenix, AZ 85028-6039

5820 Westown Pkwy
West Des Moines, IA 50266-8223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1042045MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC Dietitian, Registered CurrentSince Jun 17, 2024 Accepting new patients
Hy-Vee Health PC CurrentSince Jun 17, 2024 Accepting new patients
Hy-Vee Health PC Past Accepting new patients

Locations

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

405 E Nifong Blvd
Columbia, MO 65201
Phone (573) 442-8595

301 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 251-5760

1720 W Battlefield St
Springfield, MO 65807
Phone (417) 881-1217

2150 E Sunshine St
Springfield, MO 65804
Phone (417) 444-6861

Organizations & group practices 3

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1912740846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 GRACE LN",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332143",
            "telephone_number": "314-971-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E NIFONG BLVD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013708",
            "telephone_number": "573-442-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUKLINA",
        "first_name": "VICTORIA",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "1042045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.