IndividualActive
Libby Dominik, R.D.
NPI 1952957045 · Registered Dietitian · Augusta, MO
Provider details
- NPI number
- 1952957045
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 850733 (MO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4386 Cappeln Osage Rd
Augusta, MO 63332-1118
Phone: (636) 459-7273
Street-level locationGet directions
Mailing address
4386 Cappeln Osage Rd
Augusta, MO 63332-1118
Additional practice locations (1)
- 509 W 18th StHermann, MO 65041Phone: (573) 486-2191
Registry dates
- Enumerated
- 2019-08-14
- Last updated
- 2019-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.