NICOLE SUZANNE KERN (NPI# 1063906329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063906329 |
| Entity Type | Individual |
| Full Name | NICOLE SUZANNE KERN |
| Credential | RD, LDN |
| Practice Address |
750 42nd Avenue Dr Moline IL 61265-6893 |
| Practice Telephone | 3097571085 |
| Mailing Telephone | 3097571085 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 091659 | IA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 164.007411 | IL | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 5th St, Silvis, IL 612822903 | 3097921507 | |
| 4218 Avenue of The Cities, Moline, IL 612654544 | 3097620200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104889443 | Nicole Kern | Nurse Practitioner | 3001 E President George Bush Hwy, Suite 250, Richardson, TX 75082-3542 | 2006-04-08 |
| Street Address |
750 42ND AVENUE DR |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538304696 | Hy-vee Inc | Durable Medical Equipment & Medical Supplies | 750 42nd Avenue Dr, Moline, IL 61265-6893 | 2008-12-03 |
| 1982225942 | Nicole Savatski | Pharmacist | 750 42nd Avenue Dr, Moline, IL 61265-6893 | 2020-04-30 |
| 1922654888 | Kathryn Greer | Dietitian, Registered | 750 42nd Avenue Dr, Moline, IL 61265-6893 | 2019-08-15 |
| 1790136026 | Hannah Eddy | Dietitian, Registered | 750 42nd Avenue Dr, Hy-vee Inc, #1418, Moline, IL 61265-6893 | 2016-06-28 |
| 1093003345 | Amanda C French | Pharmacist | 750 42nd Avenue Dr, Moline, IL 61265-6893 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1528446416 | Donna Matt | Dietitian, Registered | 600 John Deere Rd Ste 304, Moline, IL 61265-6812 | 2015-05-11 |
| 1316921505 | Valerie Kate Steger | Dietitian, Registered | 1573 31st Ave, Moline, IL 61265-6024 | 2005-12-01 |
| 1922654888 | Kathryn Greer | Dietitian, Registered | 750 42nd Avenue Dr, Moline, IL 61265-6893 | 2019-08-15 |
| 1730742925 | Tristyn Rose Rivera | Dietitian, Registered | 4218 Avenue of The Cities, Moline, IL 61265-4544 | 2019-04-15 |
| 1497253603 | Robyn Nelson | Dietitian, Registered | 612 35th Ave, Moline, IL 61265-6176 | 2018-01-23 |
| 1508305491 | Karen Uhrich | Dietitian, Registered | 600 John Deere Rd Ste 304, Moline, IL 61265-6812 | 2017-02-13 |
| 1790136026 | Hannah Eddy | Dietitian, Registered | 750 42nd Avenue Dr, Hy-vee Inc, #1418, Moline, IL 61265-6893 | 2016-06-28 |
| 1154704435 | Veronica Skaradzinski | Dietitian, Registered | 4218 Avenue of The Cities, Moline, IL 61265-4544 | 2015-07-03 |
| 1689052474 | Joann Vesole | Dietitian, Registered | 600 John Deere Rd Ste 304, Moline, IL 61265-6812 | 2015-05-12 |
| 1790123016 | Brittany Nicole Fowler | Dietitian, Registered | 4218 Avenue of The Cities, Moline, IL 61265-4544 | 2013-06-09 |
| Find all providers in MOLINE | ||||
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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.