| NPI | 1538047006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL JOHNSON Owner 314-217-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 163W00000X Registered Nurse | |
| 163WN1003X Registered Nurse, Nutrition Support | |
| 207Q00000X Family Medicine | |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207VB0002X Obstetrics & Gynecology, Bariatric Medicine | |
| 2080B0002X Pediatrics, Obesity Medicine | |
| 2084B0002X Psychiatry & Neurology, Bariatric Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-08-23 |
| Last Update Date | 2025-08-23 |