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

Nicole P Bomar, RD

Individual provider Registered Dietitian · NPI 1053920025

Nicole P Bomar, RD is a Registered Dietitian in Slater, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

515 Rich St
Slater, MO 65349-1251
Phone: (660) 631-3598
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2020020010 (MO)

Record details

NPI number1053920025
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 27, 2020
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022
Mailing address515 Rich St, Slater, MO 65349-1251