Individual provider · Type 1 NPI

Ivy Boudreaux, RD, LD

Registered Dietitian · Round Rock, TX

NPI number 1588344618 Active

Practice location

1236 Pine Forest Cir
Round Rock, TX 78665-5648

Call (512) 415-1320 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X120704 (IA)
Registered Dietitian Primary 133V00000XDT82046 (TX)

Registered Dietitian: 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 the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1588344618

Ivy Boudreaux, RD, LD's National Provider Identifier is 1588344618, issued on Jul 24, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Round Rock, TX. The record was last updated on Jul 24, 2023.