Provider Demographics
NPI:1215566153
Name:VAN HELMOND, ROBIN GENE (RDN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:GENE
Last Name:VAN HELMOND
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19088 MALMSBURY CT
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8616
Mailing Address - Country:US
Mailing Address - Phone:703-963-4051
Mailing Address - Fax:
Practice Address - Street 1:19088 MALMSBURY CT
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-8616
Practice Address - Country:US
Practice Address - Phone:703-963-4051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
482935133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered