BRETA ALSTROM


Address: 107 W 9th St Fl 2, Kansas City, MO 64105-1705
Phone: 8163387851

BRETA ALSTROM (NPI# 1003388430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003388430
Entity Type Individual
Full Name BRETA ALSTROM
Credential RD
Practice Address 107 W 9th St Fl 2
Kansas City
MO 64105-1705
Practice Telephone 8163387851
Mailing Telephone 8163387851
Enumeration Date 2018-12-25
Last Update Date 2019-10-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
COMMISSION ON DIETETIC REGISTRATION 86089380 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
910 Pennsylvania Ave Apt 608, Kansas City, MO 641051359 6204913249

Office Location

Street Address 107 W 9TH ST FL 2
City KANSAS CITY
State MO
Zip Code 64105-1705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437650595 Genuine Homecare, LLC In Home Supportive Care 107 W 9th St Fl 2, Kansas City, MO 64105-1705 2018-02-23
1255950044 Venvisor Health Missouri LLC Nurse Practitioner 107 W 9th St Fl 2, Kansas City, MO 64105-1705 2020-04-11
1356807333 Hamds of Gratitude LLC In Home Supportive Care 107 W 9th St Fl 2, Kansas City, MO 64105-1705 2019-02-14
1912491291 Evelyn Isaacs-turner Home Health 107 W 9th St Fl 2, Kansas City, MO 64105-1705 2018-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851457469 Midamerica Alliance for Access Corporation Case Management 311 Delaware St., #102 #a, Kansas City, MO 64105 2006-12-28
1396352753 Alexis Cornelio Pharmacist 425 Washington St Apt 409, Kansas City, MO 64105-1115 2020-09-29
1295243475 Nikita Shah Dentist 210 W 5th St Apt 101, Kansas City, MO 64105-1165 2018-01-22
1225541477 Access Personal Care Case Management 311 Delaware St # 102a, Kansas City, MO 64105-1215 2017-11-09
1396803748 Wray Robert Williams Chiropractor 317 Delaware St, Kansas City, MO 64105-1215 2006-12-05
1710599287 River Market Dental LLC Clinic/Center 317 Delaware St, Kansas City, MO 64105-1215 2020-08-17
1316417413 Accelerated Medical Distributing, LLC Durable Medical Equipment & Medical Supplies 311 Delaware St # 102a, Kansas City, MO 64105-1215 2018-11-30
1346731122 John Tyler Zagorec Dentist 317 Delaware St, Kansas City, MO 64105-1215 2018-05-29
1427555051 Scripted Healthcare System Durable Medical Equipment & Medical Supplies 311 Delaware St # 102a, Kansas City, MO 64105-1215 2018-04-10
1093220766 Access Personal Care LLC In Home Supportive Care 311 Delaware St # 102a, Kansas City, MO 64105-1215 2017-12-04
Find all providers in zip 64105

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225642283 Elizabeth Arensberg Dietitian, Registered 6433 Valley Rd, Kansas City, MO 64113-1555 2020-09-07
1225508401 Ariel Johnston Dietitian, Registered 625 W 84th St, Kansas City, MO 64114-2223 2018-11-29
1144775834 Candy Lourens Dietitian, Registered 7600 Lees Summit Rd, Kansas City, MO 64139-1233 2016-08-23
1376997478 Kara Wheeler Dietitian, Registered 6033 Tracy Ave, Kansas City, MO 64110-3259 2016-04-15
1023439437 P3 Health Dietitian, Registered 10124 Hutton Rd, Kansas City, KS 66109-4019 2014-01-02
1558782136 Abby Klein Dietitian, Registered 3901 Rainbow Blvd. Ms 4004, Ku Pediatrics Department, Kansas City, KS 66160 2013-12-26
1336579739 Sarah Lewis Dietitian, Registered 1737 Oak St, Kansas City, MO 64108-1428 2013-11-21
1215277694 Kristin Kathleen Porter Dietitian, Registered 10124 Hutton Road, Kansas City, KS 66109 2013-02-22
1871838763 Rebecca Lynn Forrest Dietitian, Registered 5330 Nw 64th St, Kansas City, MO 64151-2414 2012-12-03
1457695793 Blakey Ann Page Dietitian, Registered 3134 Woodview Ridge Dr, #301, Kansas City, KS 66103-3601 2012-11-26
Find all providers in KANSAS CITY

Competitor

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City KANSAS CITY
Zip Code 64105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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