| Jennifer Birge, RD | |
|
1397 Weimer Rd, Taos, NM 87571-6284 | |
| (505) 758-8883 | |
| Not Available |
| Full Name | Jennifer Birge |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1397 Weimer Rd, Taos, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285788174 | NPI | - | NPPES |
| 03334783 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-0589 (New Mexico) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Birge, RD 1397 Weimer Rd, Taos, NM 87571-6284 Ph: (505) 758-8883 | Jennifer Birge, RD 1397 Weimer Rd, Taos, NM 87571-6284 Ph: (505) 758-8883 |
Molly W Bearden, RD LD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1397 Weimer Rd, Holy Cross Hospital, Taos, NM 87571 Phone: 575-737-3290 Fax: 575-737-3286 | |
Nyam Leng Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 382 Vegas De Taos Rd, Taos, NM 87571 Phone: 405-245-5722 | |
Meredith Benton Eley, LSAA Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 Paseo Del Canon W Ste A, Taos, NM 87571 Phone: 575-737-5533 Fax: 575-737-5534 | |
Stephanie Lynn Barnes, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 Paseo Del Pueblo Norte, Taos, NM 87571 Phone: 575-425-9198 | |
Erika Uebele, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1090 Goat Springs Rd, Taos, NM 87571 Phone: 575-758-6977 | |
Kelsey Chmil, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1397 Weimer Rd, Taos, NM 87571 Phone: 575-758-8883 |