Debra Bour, MS RD
NPI 1619764693ActiveIndividual· Dietitian, Registered· Prescott Valley, AZ
Dietitian, Registered (MS RD) in Prescott Valley, Arizona, licensed in MN, with an NPI issued in April 2025.
Overview
| NPI | 1619764693 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS RD |
| Sole proprietor | No |
| NPI issued | Apr 22, 2025 |
| Last updated in NPPES | Apr 22, 2025 |
| Certified by provider | Apr 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 2228 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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