SARA SUZANNE UMPHFLEET (NPI# 1023528809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023528809 |
| Entity Type | Individual |
| Full Name | SARA SUZANNE UMPHFLEET |
| Credential | RD, LDN |
| Practice Address |
1051 W South St Kewanee IL 61443-8354 |
| Practice Telephone | 3098527734 |
| Mailing Telephone | 3098527734 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 086034 | IA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 164007107 | IL | Dietary & Nutritional Service Providers |
| Street Address |
1051 W SOUTH ST |
| City | KEWANEE |
| State | IL |
| Zip Code | 61443-8354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598797193 | Kewanee Hospital | Clinic/Center | 1051 W South St, Kewanee, IL 61443-9983 | 2006-07-06 |
| 1356989917 | Leslie N Bowser | Nurse Practitioner | 1051 W South St, Kewanee, IL 61443-8354 | 2019-12-13 |
| 1861964579 | Whitney Gray Carton | Physical Therapist | 1051 W South St, Kewanee, IL 61443-8354 | 2018-12-19 |
| 1992240550 | Michelle Moe | Physical Therapist | 1051 W South St, Kewanee, IL 61443-8354 | 2017-01-05 |
| 1770031346 | Sarah Cebula | Social Worker | 1051 W South St, Kewanee, IL 61443-8354 | 2016-09-13 |
| 1851846109 | Brenda L Wager | Nurse Practitioner | 1051 W South St, Kewanee, IL 61443-8354 | 2016-08-16 |
| 1598124109 | Meghan Weber | Nurse Practitioner | 1051 W South St, Kewanee, IL 61443-8354 | 2016-02-11 |
| 1467866673 | Hayley Ralph | Family Medicine | 1051 W South St, Kewanee, IL 61443 | 2014-06-16 |
| 1932526621 | Osf Healthcare System | Anesthesiology | 1051 W South St, Kewanee, IL 61443-8354 | 2014-03-20 |
| 1427475177 | Osf Healthcare System | Clinic/Center | 1051 W South St, Kewanee, IL 61443-8354 | 2014-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013453471 | Kelly Neirynck | Licensed Practical Nurse | 420 E Mill St, Kewanee, IL 61443 | 2017-01-10 |
| 1275760456 | Daniel P. Congreve | Surgery | 1051 West South Street, Kewanee, IL 61443 | 2009-06-16 |
| 1215188487 | Petersen Health Care, Inc | Nursing Facility/Intermediate Care Facility | 144 Jounior Ave., Kewanee, IL 61443 | 2008-10-07 |
| 1114112265 | Carla Greby | Internal Medicine | 2021 Kentville Rd, Iyc Kewanee, Kewanee, IL 61443 | 2007-09-12 |
| 1740362979 | Petersen Health Systems, Inc | Assisted Living Facility | 808 Sunset Drive, Kewanee, IL 61443 | 2006-10-19 |
| 1902993652 | Kerry Howard Head | Optometrist | 730 Tenney Street, Kewanee, IL 61443 | 2006-10-06 |
| 1205927464 | Gordon M Pointer | Chiropractor | 627 East 2nd St, Kewanee, IL 61443 | 2006-09-27 |
| 1699887729 | Stephen L Rider | Dentist | 125 West South Street, Suite #10, Kewanee, IL 61443 | 2006-08-31 |
| 1336153121 | Kelli E Rashid | Occupational Therapist | 125 South Street, Suite B, Kewanee, IL 61443 | 2006-07-28 |
| 1740247394 | Jon A Debord | Physical Therapist | 125 South St, Suite B, Kewanne, IL 61443 | 2006-04-27 |
| Find all providers in zip 61443 | ||||
| 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 |
|---|---|---|---|---|
| 1730271917 | Linda Ann Harris-teach | Dietitian, Registered | 719 Elliott St, Kewanee, IL 61443-2779 | 2006-09-28 |
| 1558514984 | Kewanee Hospital | Dietitian, Registered | 1051 W South St, Kewanee, IL 61443-8354 | 2008-10-29 |
| 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.