Mackenzie Bowman, RD, CD
NPI 1639883895ActiveIndividual· Dietitian, Registered· Salt Lake City, UT
Dietitian, Registered (RD, CD) in Salt Lake City, Utah, with an NPI issued in January 2023. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1639883895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, CD |
| Sole proprietor | No |
| NPI issued | Jan 11, 2023 |
| Last updated in NPPES | Sep 16, 2026 |
| Certified by provider | Sep 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (UT) |
|---|
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