Active NPI
Plant-Based Dietitians Inc
- Registered Dietitian
- Casper, WY
National Provider Identifier
1942017009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- PLANT-BASED DIETITIANS INC
- Practice address
- 5830 East 2ND Street
Casper, WY 82609 - Phone
- (514) 688-9908
- NPI assigned
- Dec 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Madeleine Alyssa Fontaine Reid
- Title
- Director
- Phone
- (514) 688-9908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
5830 East 2ND Street
Casper, WY 82609
Mailing address
5830 East 2ND Street
Casper, WY 82609
Phone (514) 688-9908
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733961600000",
"number": "1942017009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5830 EAST 2ND STREET",
"city": "CASPER",
"state": "WY",
"postal_code": "82609",
"telephone_number": "514-688-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 EAST 2ND STREET",
"city": "CASPER",
"state": "WY",
"postal_code": "82609",
"telephone_number": "514-688-9908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANT-BASED DIETITIANS INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-12",
"last_updated": "2024-12-12",
"status": "A",
"authorized_official_last_name": "FONTAINE REID",
"authorized_official_first_name": "MADELEINE ALYSSA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "514-688-9908",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.