MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC) – Registered Dietitian, NPI 1316674609

Registered Dietitian

MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC) is a healthcare provider. based in Bolivar, Missouri. specializing in Registered Dietitian. They hold the professional credentials MS, RD, LD, CNSC. They hold a License No. 2014031795 (MO). The NPI Number for MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC) is 1316674609

Main info

Male

Name

MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC)

NPI

1316674609

Phone

(417) 298-1366

Address

776 W PEARL ST

Enumeration Date

5 August 2022

Last Update Date

5 August 2022

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness75

Years active:3State licenses:1Digital endpointsOther names

Provider Addresses for MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC)

776 W PEARL ST
BOLIVAR, MO 656132878
Phone: (417) 298-1366
Type: Mailing
1500 N OAKLAND AVE
BOLIVAR, MO 656133011
Phone: (417) 328-6462
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65613)

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Reviews

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Frequently asked questions

Does MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC) have a public NPI I can cite?

Public records show MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC) under NPI 1316674609.

Does the public listing show MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC) as active?

MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC)'s NPI record reflects an active status in NPPES.

What services align with MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC)'s listing?

MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC)'s public classification highlights Registered Dietitian. Clinical services aligned with this taxonomy classification.

What geographic area is tied to MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC)?

MR. XAVIER JACOB LEE PEARSON (MS, RD, LD, CNSC) is associated with Bolivar, Missouri in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.