Tracy R Anderson in Peoria - Dietitian, Registered
Tracy R Anderson - NPI 1639393556
Tracy R Anderson is a Dietitian, Registered in Peoria, Illinois. Tracy R Anderson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Tracy R Anderson is 1639393556. The last update date is 2007-07-08.
Tracy R Anderson's current location address is 221 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096724240 and fax number 3096724953. The mailing address for Tracy R Anderson is 221 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy R Anderson |
|---|---|
| Address | 221 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096724240 |
| Fax Number | 3096724953 |
| Sole Proprietor | N |
| Credentials | MS, RD, LD |
NPI Number Detail
| NPI Number | 1639393556 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 221 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616360002 |
| Phone Number | 3096724240 |
| Fax Number | 3096724953 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identifier code assigned to Tracy R Anderson by the Centers for Medicare & Medicaid Services?
The Tracy R Anderson has been issued the NPI (National Provider Identifier) 1639393556 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Tracy R Anderson located?
The Tracy R Anderson is located at 221 Ne Glen Oak Ave, Peoria, IL 616360002.
What is Tracy R Anderson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy R Anderson's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
When did Tracy R Anderson receive its 1639393556 assignment?
The Tracy R Anderson was assigned its 1639393556 on 2007-04-12, which is the date when this unique identifier was issued to the organization.
As of what date were the Tracy R Anderson's details last updated?
The information pertaining to the Tracy R Anderson, including its address, specialty, and other details, was most recently updated on 2007-07-08.