MIRISSA RAY WEBER RDN
NPI 1831808203
Dietitian, Registered in Saint Louis, MO

Active since November 15, 2022
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5387 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mirissa Ray Weber Rdn NPPES

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

MIRISSA RAY WEBER RDN (NPI 1831808203) is an individual dietitian, registered in Saint Louis, Missouri and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1831808203
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMIRISSA RAY WEBERCredential: RDN
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003
Sole ProprietorNo
Enumeration DateNovember 15, 2022
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
NPI 1831808203 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.

1465 S GRAND BLVD, Saint Louis, MO 63104

Other Names 1

Former Name (1)Mirissa Ray Massey Rdn

Other Providers at the Same Location NPPES 20

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

Physical Medicine & Rehabilitation
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Physical Medicine & Rehabilitation
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Diagnostic Radiology)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Pediatric Radiology)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychologist
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychologist
1465 S GRAND BLVD
SAINT LOUIS, MO 63104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831808203, enumerated as an "individual" on November 15, 2022.

The provider is located at 1465 S GRAND BLVD SAINT LOUIS, MO 63104 and the phone number is (314) 577-5387.

Dietitian, Registered with taxonomy code 133V00000X.