| Name | Value |
|---|---|
| PROVIDER TYPE | Dietary & Nutritional Service Providers |
| CLASSIFICATION | Dietitian, Registered |
| DEFINITION | An individual who is a Board Certified Specialist in Pediatric Critical Care Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for critically ill infants, children and adolescents. Additional roles could inclu |
| AREA OF SPECIALIZATION | Nutrition, Pediatric Critical Care |
| STATUS | Active |
| VA CODE | V040410 |
| X12 CODE | 133VN1401X |
| SPECIALTY CODE | 71 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5330372 |
| EFFECTIVE DATE/TIME |
|