Carrie Behn, RD, CSG
Individual provider Active NPI Registered Dietitian · Ivins, UT
NPI 1962394064 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1962394064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 10825328-4901 (UT)
- Practice address
- 515 S 250 E
Ivins, UT 84738-5059 - Phone
- (714) 502-4012
- NPI assigned
- Jul 15, 2025
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10825328-4901 | UT | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 10825328-4901 | UT | Yes |
Addresses
Primary practice location
515 S 250 E
Ivins, UT 84738-5059
Mailing address
515 S 250 E
Ivins, UT 84738-5059
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3167 | Other | SC | DIETITIAN LICENSE |
| LD-D-10242268 | Other | OR | OREGON HEALTH LICENSING - BOARD OF LICENSED DIETITIANS |
| DI61543401 | Other | WA | WASHINGTON STATE DIETITIAN CERTIFICATION |
| 10825328-4901 | Other | UT | UTAH DOPL DIETITIAN CERTIFICATION |
| 86079203 | Other | COMMISSION ON DIETETIC REGISTRATION |
Other providers in Ivins, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. 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.