| Dr Daniela Novotny, RD, LD, CHES | |
|
901 S National Ave, Springfield, MO 65897-0027 | |
| (417) 619-8981 | |
| Not Available |
| Full Name | Dr Daniela Novotny |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 901 S National Ave, Springfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467695304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2006029444 (Missouri) | Primary |
| 174H00000X | Health Educator | 58635 (Missouri) | Secondary |
| Provider Name | Missouri State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073600334 PECOS PAC ID: 7214919661 Enrollment ID: O20040601001151 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniela Novotny, RD, LD, CHES 3847 W Edgewood St, Springfield, MO 65807-5586 Ph: (417) 619-8981 | Dr Daniela Novotny, RD, LD, CHES 901 S National Ave, Springfield, MO 65897-0027 Ph: (417) 619-8981 |
Frances H Bunch, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-820-2000 | |
Noah Lee Alldredge, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1901 E Bennett St Ste D, Springfield, MO 65804 Phone: 417-881-1900 Fax: 417-881-1237 | |
Mr. Samuel Bryan Yarrow, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 E Walnut Lawn St Ste 203, Springfield, MO 65807 Phone: 417-269-3904 | |
Rebecca Sue Holcomb, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3031 | |
Janice M Long-connelly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2474 Fax: 417-820-4539 | |
Emily Bigley, R.D. L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 E Walnut Lawn St, Springfield, MO 65807 Phone: 417-269-3900 | |
Mrs. Ladonna Marie Webb, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2458 E Madrid Ave, Springfield, MO 65804 Phone: 417-343-8222 Fax: 866-542-3416 |