Basic Information
| Provider Information | |||||||||
| NPI: | 1982355566 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HELM | ||||||||
| FirstName: | ALICIA | ||||||||
| MiddleName: | |||||||||
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| Credential: | RDN, LD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1010 4TH ST SW | ||||||||
| Address2: | STE 120 | ||||||||
| City: | MASON CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 504012857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6414286020 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1010 4TH ST SW | ||||||||
| Address2: | STE 120 | ||||||||
| City: | MASON CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 504012857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6414286020 | ||||||||
| FaxNumber: | 6414287803 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2022 | ||||||||
| LastUpdateDate: | 02/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 080331 | IA | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.