Individual
NIKKI LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDCES
Contact information
Practice address
494 HUB BLVD APT 218, BOWLING GREEN, KY 42103-8921
(270) 748-7608
(270) 748-7608
Mailing address
494 HUB BLVD APT 218, BOWLING GREEN, KY 42103-8921
(270) 748-7608
(270) 748-7608
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1700
KY
133V00000X
Registered Dietitian
Primary
20720185
KY
133V00000X
Registered Dietitian
2332
TN
133V00000X
Registered Dietitian
3012
AR
133V00000X
Registered Dietitian
37003099A
IN
133V00000X
Registered Dietitian
4163
LA
133V00000X
Registered Dietitian
D-10265040
OR
133V00000X
Registered Dietitian
D-2894
MS
133V00000X
Registered Dietitian
DN006969
PA
133V00000X
Registered Dietitian
DT86701
TX
133V00000X
Registered Dietitian
DX8021
MD
133V00000X
Registered Dietitian
LD008367
GA
133V00000X
Registered Dietitian
MED-NUTR-LIC-165954
MT
163WD0400X
Diabetes Educator Registered Nurse
Primary
20720185
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000713744
ANTHEM
KY
01
—
7781604
AETNA
TN
01
—
P00996162
RAILROAD MEDICARE
KY
Enumeration date
03/20/2006
Last updated
04/23/2026
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