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

Noelle Mennen

Individual provider Registered Dietitian · NPI 1508692872

Noelle Mennen is a Registered Dietitian OR Nutrition Professional in Liberty, Missouri. Qualified in 2022, 4 years ago. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2024

Practice location Address checks out

109 N Blue Jay Dr
Liberty, MO 64068-1906
Phone: (816) 792-3210
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2023045194 (MO)

Record details

NPI number1508692872
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 11, 2024
Mailing address109 N Blue Jay Dr, Liberty, MO 64068-1906

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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