MALLORY JO NICHOLSON RD, LD
NPI 1154751196
Dietitian, Registered in West Des Moines, IA

Active since November 12, 2013
1990 GRAND AVE, WEST DES MOINES, IA 50265(515) 223-8151 Get Directions Write a Review

NPPES record last updated: November 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory Jo Nicholson Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY JO NICHOLSON RD, LD (NPI 1154751196) is an individual dietitian, registered in West Des Moines, Iowa, licensed in Iowa (002117) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1154751196
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMALLORY JO NICHOLSONCredential: RD, LD
Location Address1990 GRAND AVEWest Des Moines, IA 50265-4222
Mailing Address1990 Grand AveWest Des Moines, IA 50265-4222
Sole ProprietorYes
Enumeration DateNovember 12, 2013
NPI 1154751196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in IA · 002117
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1990 GRAND AVE, West Des Moines, IA 50265

Other Names 1

Former Name (1)Mallory Jo Small

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1990 GRAND AVE
WEST DES MOINES, IA 50265
Pharmacy (Community/Retail Pharmacy)
1990 GRAND AVE
WEST DES MOINES, IA 50265
Pharmacist
1990 GRAND AVE
WEST DES MOINES, IA 50265
Pharmacist
1990 GRAND AVE
WEST DES MOINES, IA 50265
Dietitian, Registered
1990 GRAND AVE
WEST DES MOINES, IA 50265
Pharmacist
1990 GRAND AVE
WEST DES MOINES, IA 50265
Pharmacist
1990 GRAND AVE
WEST DES MOINES, IA 50265
Pharmacist
1990 GRAND AVE
WEST DES MOINES, IA 50265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Nicholson's NPI number?

The NPI number for Mallory Nicholson is 1154751196. It was assigned to this individual provider in the NPPES registry on November 12, 2013. The provider is also known as Mallory Jo Small.

Where is Mallory Nicholson located?

Mallory Nicholson practices at 1990 Grand Ave, West Des Moines, IA 50265. The listed phone number is (515) 223-8151.

What is Mallory Nicholson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Mallory Nicholson was last updated on November 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.