Aubrey Knickerbocker, MS RDN is a
Dietitian, Registered based in Dittmer, Missouri. Aubrey Knickerbocker is licensed to practice in * (Not Available) (license number 86325936) and her current practice location is
8348 Dittmer Ridge Rd, Dittmer, Missouri. She can be reached at her office (for appointments etc.) via phone at
(704) 301-2400.
NPI number for Aubrey Knickerbocker is 1700768736 and her current mailing address is 8348 Dittmer Ridge Rd, Dittmer, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700768736.
Healthcare Provider's Profile
| Full Name | Aubrey Knickerbocker |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 8348 Dittmer Ridge Rd, Dittmer, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700768736
- Provider Enumeration Date: 07/22/2025
- Last Update Date: 07/22/2025
Medical Identifiers
Medical identifiers for Aubrey Knickerbocker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700768736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 86325936 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aubrey Knickerbocker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Aubrey Knickerbocker, MS RDN 8348 Dittmer Ridge Rd, Dittmer, MO 63023-1110 Ph: (704) 301-2400 | Aubrey Knickerbocker, MS RDN 8348 Dittmer Ridge Rd, Dittmer, MO 63023-1110 Ph: (704) 301-2400 |
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