TONYA HAGENBAUMER (NPI# 1033360136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033360136 |
| Entity Type | Individual |
| Full Name | TONYA HAGENBAUMER |
| Credential | M.S.R.D.L.D. |
| Practice Address |
2025 S. Chicago Street Joliet IL 60436 |
| Mailing Address |
2025 S Chicago St Joliet IL 60436-3172 |
| Practice Telephone | 8157262200 |
| Mailing Telephone | 8157262200 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 806637 | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICSENCE | 164002717 | 01 |
| Street Address |
2025 S. CHICAGO STREET |
| City | JOLIET |
| State | IL |
| Zip Code | 60436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431345 | Tiffanie Mcnair | Nurse's Aide | 306 Romayne Ave, Joliet, IL 60436 | 2017-07-28 |
| 1366964215 | Pamela Coney | Licensed Practical Nurse | 916 Prairie Path Ln, Joliet, IL 60436 | 2017-07-12 |
| 1104375815 | Cynthia Sylvia | Licensed Practical Nurse | 211 S. Hunter Ave, Joliet, IL 60436 | 2016-09-23 |
| 1760804629 | Center for Disability Services | Day Training, Developmentally Disabled Services | 311 S Reed St, Joliet, IL 60436 | 2014-01-13 |
| 1215247093 | Sadra Rae West | Developmental Therapist | 807 Thorn Creek Drive, Joliet, IL 60436 | 2010-10-14 |
| 1699966051 | Kul Sood | General Practice | 95 S Chicago St, Joliet, IL 60436 | 2007-08-09 |
| 1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1790750412 | Maria L Ramirez | Occupational Therapist | 709 Margaret St, Rockdale, IL 60436 | 2006-02-17 |
| 1780872788 | Kimberly Ann Mulligan | Physician Assistant | 2025 S Chicago St, Joliet, IL 60436 | 2007-10-04 |
| Find all providers in zip 60436 | ||||
| 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 |
|---|---|---|---|---|
| 1033541693 | Raquel Lynn Kairis | Dietitian, Registered | 721 E Jackson St, Joliet, IL 60432-2560 | 2013-08-06 |
| 1578863460 | Renee Vanacora | Dietitian, Registered | 2025 S. Chicago St, Primary Care Joliet, Joliet, IL 60436-3168 | 2010-10-26 |
| 1558459123 | Colleen Patricia Wessman | Dietitian, Registered | 333 North Madison St., Joliet, IL 60435 | 2006-10-10 |
| 1225057094 | Dawn White | Dietitian, Registered | 333 North Madison Street, Joliet, IL 60435 | 2006-07-19 |
| 1487051504 | Kara Carr | Dietitian, Registered | 333 Madison St, Food and Nutrition Department, Joliet, IL 60435-8200 | 2014-12-04 |
| 1992122311 | Jillian Harris | Dietitian, Registered | 333 Madison St, Joliet, IL 60435-8200 | 2014-03-24 |
| 1447699707 | Kellie Bailey | Dietitian, Registered | 333 Madison St, Joliet, IL 60435-8200 | 2013-06-20 |
| 1710287818 | Paula Jean Hall | Dietitian, Registered | 2025 S Chicago St, 1051 Essington Rd., Joliet, IL 60436-3172 | 2010-10-24 |
| 1366751505 | Muna T Siddiqi | Dietitian, Registered | 333 Madison St, Joliet, IL 60435-8200 | 2010-10-06 |
| 1700026648 | Lauren Smith | Dietitian, Registered | 333 Madison St, Joliet, IL 60435-8200 | 2009-03-05 |
| Find all providers in JOLIET | ||||
Please comment or provide details below to improve the information on TONYA HAGENBAUMER.
| 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.