Doctor Name: | MRS. JESSICA LYNN BEANVIDES |
NPI Number: | 1689772345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CDN, LD |
License Number: | LD.6086 |
Business Practice Address: | 3265 Havel Dr Beachwood, OH - 441224103 |
Business Phone Number: | 9173716587 |
Business Fax Number: | |
Mailing Address: | 3265 Havel Dr, BEACHWOOD |
State: | OH |
Postal Code: | 441224103 |
Phone Number: | 9173716587 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 02/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD.6086 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |