Individual provider · Type 1 NPI

Jill Bayouth

Registered Dietetic Technician · Longmont, CO

NPI number 1992180939 Active

Practice location

1925 Mountain View Ave
Longmont, CO 80501-3128

Call (303) 776-1234 Map

Fax (720) 494-3107

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000X1072108 (CO)
Registered Dietetic Technician 136A00000X21420304 (CO)

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…

90 other providers at this address

About NPI 1992180939

Jill Bayouth's National Provider Identifier is 1992180939, issued on Jul 20, 2015. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Longmont, CO. The record was last updated on Aug 26, 2015.