National Provider Identifier
Nicole Laura Becklem, RDN
Nicole Laura Becklem, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 445-5051.
Profile Overview
- NPI
- 1417742966
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- April 14, 2025
- Last Updated
- April 14, 2025
Practice Location
- 21 Shoshone St
- Buffalo, NY 14214-1031
Phone: (716) 445-5051
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1417742966
- Entity Type
- Individual
- Last Name
- Becklem
- First Name
- Nicole
- Middle Name
- Laura
- Name Prefix
- MS.
- Credential
- RDN
- Provider Other Last Name
- Klem
- Provider Other First Name
- Nicole
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- RDN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 21 Shoshone St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1031
- Mailing Country
- US
- Mailing Phone
- (716) 445-5051
- Practice Street Address
- 21 Shoshone St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1031
- Practice Country
- US
- Practice Phone
- (716) 445-5051
- Enumeration Date
- April 14, 2025
- Last Updated
- April 14, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 14, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)