Individual provider · Type 1 NPI

Holly Niemann

Registered Dietetic Technician · Mascoutah, IL

NPI number 1023915303 Active

Practice location

615 N Lebanon St
Mascoutah, IL 62258-1448

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000XNone listed

Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…

About NPI 1023915303

Holly Niemann's National Provider Identifier is 1023915303, issued on Oct 21, 2026. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Mascoutah, IL. The record was last updated on Oct 21, 2026.