Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Xavier Jacob Lee Pearson, MS, RD, LD, CNSC

Registered Dietitian in Bolivar, MO · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316674609

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Mr. Xavier Jacob Lee Pearson

Credential MS, RD, LD, CNSC

Sex Male

Practice address 1500 N Oakland Ave, Bolivar, MO, 65613

Phone (417) 328-6462

Enumeration date Aug 5, 2022

Last updated in NPPES Aug 5, 2022

Taxonomy & licenses

133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License 2014031795 (MO) Primary

RD · Registered Dietitian: A nutrition professional credentialed by the Commission on Dietetic Registration. About the RD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Xavier Pearson practice?

The practice location on file with NPPES is in Bolivar, MO. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Xavier Pearson?

The National Provider Identifier (NPI) for Xavier Pearson is 1316674609, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Bryan Flueckiger Psychiatry Physician · Bolivar, MO NPI 1992705305 Morgan Simpson Athletic Trainer · Bolivar, MO NPI 1295727667 Richard Reber Diagnostic Radiology Physician · Bolivar, MO NPI 1730173964 Parkview Anesthesia Certified Registered Nurse Anesthetist · Bolivar, MO NPI 1770568842 Rodney Hoover Certified Registered Nurse Anesthetist · Bolivar, MO NPI 1760467807 Jason Brooks Certified Registered Nurse Anesthetist · Bolivar, MO NPI 1205811924 David Gordon Athletic Trainer · Bolivar, MO NPI 1558334771 Polk County Radiology LLC Diagnostic Radiology Physician · Bolivar, MO NPI 1780642249

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-05.