CASEY MORTENSEN RD, IBCLC
NPI 1669217774
Dietitian, Registered in Eagle Mountain, UT

Active since June 28, 2024
4765 N GRANDVIEW PEAK DR, EAGLE MOUNTAIN, UT 84005(480) 393-9933 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Casey Mortensen Rd, Ibclc NPPES

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

CASEY MORTENSEN RD, IBCLC (NPI 1669217774) is an individual dietitian, registered in Eagle Mountain, Utah, licensed in (1090229) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1669217774
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCASEY MORTENSENCredential: RD, IBCLC
Location Address4765 N GRANDVIEW PEAK DREagle Mountain, UT 84005-5440
Mailing Address4765 N Grandview Peak DrEagle Mountain, UT 84005-5440 · (480) 393-9933
Sole ProprietorNo
Enumeration DateJune 28, 2024
NPPES CertifiedJune 28, 2024
NPI 1669217774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed · 1090229
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.
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-315224
4765 N GRANDVIEW PEAK DR, Eagle Mountain, UT 84005

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 Casey Mortensen's NPI number?

The NPI number for Casey Mortensen is 1669217774. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Casey Mortensen located?

Casey Mortensen practices at 4765 N Grandview Peak Dr, Eagle Mountain, UT 84005. The listed phone number is (480) 393-9933.

What is Casey Mortensen'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 Casey Mortensen was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.