GUIDED FORK LLC (NPI# 1053717611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053717611 |
| Entity Type | Organization |
| Organization Name | GUIDED FORK LLC |
| Practice Address |
37 S Main St Sheridan WY 82801-4221 |
| Mailing Address |
3482 Hwy 87 Sheridan WY 82801-9558 |
| Practice Telephone | 3077514264 |
| Mailing Telephone | 3077514264 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |
| Authorized Official Name | OLIVIA CATHERINE KIRVEN (OWNER) |
| Authorized Official Telephone | 3077514264 |
| Authorized Official Credential | R.D., L.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 150 | WY | Dietary & Nutritional Service Providers |
| Street Address |
37 S MAIN ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740605088 | Tailored Nutrition LLC | Clinic/Center | 37 S Main St, Sheridan, WY 82801-4221 | 2014-02-24 |
| 1922432277 | Georgia Fletcher Boley | Dietitian, Registered | 37 S Main St, Sheridan, WY 82801-4221 | 2013-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| 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 |
|---|---|---|---|---|
| 1386298297 | Morgan Elizabeth Carter | Dietitian, Registered | 895 Grant 69, Sheridan, AR 72150-8244 | 2019-07-29 |
| 1497268650 | Candace Garner | Dietitian, Registered | 603 Riverside St, Sheridan, WY 82801-6120 | 2017-11-09 |
| 1780912287 | Mary Adonna Yuse-miller | Dietitian, Registered | 7373 Sw Gopher Valley Rd, Sheridan, OR 97378-9795 | 2009-11-23 |
| 1043468549 | Anna Pennington Hardin | Dietitian, Registered | 7621 Highway 46 North, Sheridan, AR 72150-6161 | 2008-09-09 |
| 1851758965 | Jan Loftus | Dietitian, Registered | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2016-01-20 |
| 1215338975 | Olivia Feaster | Dietitian, Registered | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2014-09-11 |
| 1508282153 | Jordan Mccoy | Dietitian, Registered | 1333 W 5th St Ste 112, Sheridan, WY 82801-2752 | 2014-03-06 |
| 1699100826 | Sarah Ann Sommers | Dietitian, Registered | 1333 W 5th St Ste 110, Sheridan, WY 82801-2752 | 2013-09-06 |
| 1922432277 | Georgia Fletcher Boley | Dietitian, Registered | 37 S Main St, Sheridan, WY 82801-4221 | 2013-08-22 |
| 1033317037 | Janet Nowak | Dietitian, Registered | 1898 Fort Road, Sheridan, WY 82801 | 2007-07-11 |
| Find all providers in SHERIDAN | ||||
Please comment or provide details below to improve the information on GUIDED FORK LLC.
| 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.