JOHN RYAN BOESCH RD
NPI 1568929925
Dietitian, Registered in Fort Campbell, KY

Q: What is John Boesch's NPI number?

The NPI number for John Boesch is 1568929925. It was assigned to this individual provider in the NPPES registry on February 21, 2019.

Q: What is John Boesch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Boesch was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 21, 2019

6102 TENNESSEE AVE, FORT CAMPBELL, KY 42223(615) 517-9021 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John Ryan Boesch Rd NPPES

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

JOHN RYAN BOESCH RD (NPI 1568929925) is an individual dietitian, registered in Fort Campbell, Kentucky and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1568929925

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameJOHN RYAN BOESCHCredential: RD

Location Address6102 TENNESSEE AVEFort Campbell, KY 42223-5940

Mailing Address1390 Adams St Apt 233Nashville, TN 37208-1799 · (615) 517-9021

Phone(615) 517-9021

Sole ProprietorNo

Enumeration DateFebruary 21, 2019

✔ NPI 1568929925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

6102 TENNESSEE AVE, Fort Campbell, KY 42223

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Other Providers at the Same Location NPPES 7

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

MRS. KARIN CHRISTINE MENDOZA MSN, RN

Registered Nurse (Psychiatric/Mental Health)