JOLAN SU MCNINCH (NPI# 1033759865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033759865 |
| Entity Type | Individual |
| Full Name | JOLAN SU MCNINCH |
| Credential | RD,LD |
| Practice Address |
3108 Greenpark Condo, Washington Drive Mangilao GU 96923-9692 |
| Mailing Address |
Po Box 5224 Mangilao GU 96923-5224 |
| Practice Telephone | 6714877206 |
| Mailing Telephone | 6714877206 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 05 | GU | Dietary & Nutritional Service Providers |
| Street Address |
3108 GREENPARK CONDO, WASHINGTON DRIVE |
| City | MANGILAO |
| State | GU |
| Zip Code | 96923-9692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215474432 | Sandra Bordallo | Counselor | 261a Old Price Road, Mangilao, GUAM 96923 | 2017-01-25 |
| 1639587520 | Dolores M Taijeron | Counselor | Uog Station, University of Guam, Mangilao, GU 96923 | 2014-07-24 |
| 1184990905 | Joon Ha | Dentist | 1 3 Route 10 #353, Lot No. 2320-new-2, Mangilao, GU 96923 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376188920 | Dianna Le | Prosthetist | 132 Atis St, Mangilao, GU 96913-9691 | 2019-11-07 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1336633643 | Newgen Peak Performance, LLC | Dietitian, Registered | 263 Vietnam Veterans Memorial Highway, Mangilao, GU 96913 | 2018-06-20 |
| 1215474432 | Sandra Bordallo | Counselor | 261a Old Price Road, Mangilao, GUAM 96923 | 2017-01-25 |
| 1033595699 | Ran-care Inc | Pharmacy | 263 Vietnam Veteran's Highway, Mangilao, GU 96913 | 2015-08-06 |
| 1639587520 | Dolores M Taijeron | Counselor | Uog Station, University of Guam, Mangilao, GU 96923 | 2014-07-24 |
| 1184990905 | Joon Ha | Dentist | 1 3 Route 10 #353, Lot No. 2320-new-2, Mangilao, GU 96923 | 2012-03-26 |
| 1407127871 | Leonard Patrick Campos | Physical Therapist | 263 Vietnam Veterans Memorial Hwy, Mangilao, GU 96913 | 2012-01-18 |
| 1912283300 | Frank S. Borja | Durable Medical Equipment & Medical Supplies | 144 Cup of Gold St, Mangilao, GU 96913-5913 | 2011-10-29 |
| Find all providers in MANGILAO | ||||
| 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 |
|---|---|---|---|---|
| 1336633643 | Newgen Peak Performance, LLC | Dietitian, Registered | 263 Vietnam Veterans Memorial Highway, Mangilao, GU 96913 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342946 | Rosae Camarin Calvo | Dietitian, Registered | 116 W Chalan Santo Papa Bldg Ste 103, Hagatna, GU 96910-7105 | 2019-02-12 |
| 1255981502 | Kristy Joy Quiros Mary | Dietitian, Registered | 850 Gov. Carlos Camacho Road, Tamuning, GU 96913 | 2019-09-18 |
| 1548823404 | Sharon Azucena | Dietitian, Registered | 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3128 | 2019-04-17 |
| 1598231300 | Victoria San Nicolas Perez | Dietitian, Registered | 400 Route 8 Ste 303, Maite, GU 96910-2003 | 2018-10-18 |
| 1932694940 | Marysol Zaragoza | Dietitian, Registered | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2018-06-22 |
| 1457842452 | Jaime Martin | Dietitian, Registered | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2018-05-24 |
| 1346749546 | Carlo Rada | Dietitian, Registered | 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913 | 2018-02-03 |
| 1629577929 | Richelle Rada | Dietitian, Registered | 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3128 | 2018-02-02 |
| 1427594472 | Lenora Matanane | Dietitian, Registered | 472 Chalan San Antonio, Tamuning, GU 96913-3605 | 2017-01-15 |
| 1538586581 | Angeline David | Dietitian, Registered | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2014-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOLAN SU MCNINCH.
| 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.