Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Xavier Jacob Lee Pearson, MS, RD, LD, CNSC

Individual provider Registered Dietitian · NPI 1316674609

Mr. Xavier Jacob Lee Pearson, MS, RD, LD, CNSC is a Registered Dietitian in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone: (417) 328-6462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2014031795 (MO)

Record details

NPI number1316674609
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RD , LD , CNSC
Sole proprietorNo
NPI enumeratedAugust 5, 2022
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022

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