Organization · Type 2 NPI

Infant Toddler Services of Johnson County

Pediatric Nutrition Registered Dietitian · Overland Park, KS

NPI number 1124153424 Active

Practice location

6400 Glenwood St, Suite 205
Overland Park, KS 66202-4016

Fax (913) 432-2901

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XNone listed
Pediatric Physical Therapist 2251P0200XNone listed
Pediatric Occupational Therapist 225XP0200XNone listed
Speech-Language Pathologist 235Z00000XNone listed

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

25 other providers at this address

About NPI 1124153424

Infant Toddler Services of Johnson County's National Provider Identifier is 1124153424, issued on Feb 23, 2007. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Overland Park, KS. The record was last updated on Sep 11, 2025.