Provider Demographics
NPI:1710756960
Name:NIXT, TAYLOR J (RDN, LD)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:J
Last Name:NIXT
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CENTENNIAL STUDENT UN
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-6049
Mailing Address - Country:US
Mailing Address - Phone:507-389-1441
Mailing Address - Fax:
Practice Address - Street 1:450 ELLIS AVE
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6002
Practice Address - Country:US
Practice Address - Phone:507-389-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4961133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered