NICOLLE JEANETTE PUTNAM (NPI# 1023319365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023319365 |
| Entity Type | Individual |
| Full Name | NICOLLE JEANETTE PUTNAM |
| Credential | R.D. |
| Practice Address |
2001 5th St Suite 51 Silvis IL 61282-2903 |
| Mailing Address |
321 E 7th St #208 Davenport IA 52803-5513 |
| Practice Telephone | 3097921507 |
| Practice Fax Number | 3097921518 |
| Mailing Telephone | 5157209178 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164.005326 | IL | Dietary & Nutritional Service Providers |
| Street Address |
2001 5TH ST SUITE 51 |
| City | SILVIS |
| State | IL |
| Zip Code | 61282-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494114 | Priscilla Perry Arnold | Ophthalmology | 2001 5th St, Suite 49, Silvis, IL 61282-2903 | 2005-06-01 |
| 1194326017 | Paul Garner | Pharmacist | 2001 5th St, Silvis, IL 61282 | 2020-11-06 |
| 1578993135 | Lindsey Brost | Dietitian, Registered | 2001 5th St, Suite 51, Silvis, IL 61282-2903 | 2013-11-19 |
| 1639456411 | Katherine Loretta Murphy Dunne | Optometrist | 2001 5th St, Suite 49, Silvis, IL 61282-2903 | 2011-11-08 |
| 1962522557 | Cory Anton Debuhr | Pharmacist | 2001 5th St, Silvis, IL 61282-2903 | 2007-03-29 |
| 1477672525 | Christie Lea Mcmann | Pharmacist | 2001 5th St, Silvis, IL 61282-2903 | 2007-03-28 |
| 1275562092 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 2001 5th St, Silvis, IL 61282-2903 | 2006-07-02 |
| 1003893454 | Nikhil Sudhakar Wagle | Ophthalmology | 2001 5th St, Suite 49, Silvis, IL 61282 | 2005-12-28 |
| 1912984360 | Michael Douglas Boehm | Ophthalmology | 2001 5th St, Suite 49 Eye Surgeons Associates PC, Silvis, IL 61282 | 2005-12-28 |
| 1477530830 | James Guy Wymore | Ophthalmology | 2001 5th St, Suite 49, Silvis, IL 61282-2903 | 2005-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172605 | Phyllis Cunningham | Technician | 603 2nd Ave C, Silvis, IL 61282 | 2019-09-07 |
| 1710369400 | Krystle Lee Hergert | Dietitian, Registered | 2001 5th Street, Silvis, IL 61282 | 2015-06-18 |
| 1558549469 | Bobb Chiropractic Center P.C. | Chiropractor | 813 1st Avenue, Silvis, IL 61282 | 2008-02-01 |
| 1952509846 | Jennifer Marie Jensen | Pharmacist | 1601 18th St, Silvis, IL 61282 | 2007-07-03 |
| 1871516781 | Joseph R Yates | Emergency Medicine | 801 Illini Drive, Silvis, IL 61282 | 2006-07-25 |
| 1376581447 | Holly S Wilkinson | Physical Therapist | 902 Illini Drive, Silvis, IL 61282 | 2006-06-02 |
| 1831145507 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1312 John Deere Expy, Silvis, IL 61282 | 2006-05-25 |
| 1366043291 | Karen Marie Garner | Pharmacist | 2001 5th Street, Silvis, IL 61282 | 2020-11-06 |
| 1659865848 | Njl Chiropractic | Clinic/Center | 813 1st Ave, Silvis, IL 61282 | 2018-06-20 |
| 1376922930 | Muhammad Kumail Shah | Family Medicine | 801 Illini Dr, Silvis, IL 61282 | 2015-05-28 |
| Find all providers in zip 61282 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710369400 | Krystle Lee Hergert | Dietitian, Registered | 2001 5th Street, Silvis, IL 61282 | 2015-06-18 |
| 1578993135 | Lindsey Brost | Dietitian, Registered | 2001 5th St, Suite 51, Silvis, IL 61282-2903 | 2013-11-19 |
| 1154542470 | Kathy Jo Krapfl | Dietitian, Registered | 801 Illini Dr, Genesis Medical Center, Illini Campus, Silvis, IL 61282-1804 | 2007-05-02 |
| 1245459700 | Patricia Laas | Dietitian, Registered | 801 Illini Dr, Silvis, IL 61282-1804 | 2007-04-24 |
| 1952456899 | Dawn Frances Blean | Dietitian, Registered | 801 Illini Dr, Silvis, IL 61282-1804 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.