NUTRAWELLNESS WORKS, INC (NPI# 1083041149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083041149 |
| Entity Type | Organization |
| Organization Name | NUTRAWELLNESS WORKS, INC |
| Practice Address |
1400 Blackberry Dr Fairbanks AK 99712-1810 |
| Practice Telephone | 9076997799 |
| Practice Fax Number | 9074598201 |
| Mailing Telephone | 9076997799 |
| Mailing Fax Number | 9074598201 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | MADELINE PATTERSON-O'DELL (PRESIDENT) |
| Authorized Official Telephone | 9076997799 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 163 | AK | Dietary & Nutritional Service Providers |
| Street Address |
1400 BLACKBERRY DR |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99712-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295216687 | Janet Lynn Juenke | Massage Therapist | 615 O'leary Rd, Fairbanks, AK 99712 | 2018-08-24 |
| 1730618422 | Melody Waldroup | Massage Therapist | 845 Birch Hill Rd, Fairbanks, AK 99712 | 2017-06-07 |
| 1154715928 | Relax Your Mind, Body and Soul | Clinic/Center | 559 Golden Morn St, Fairbanks, AK 99712 | 2015-03-19 |
| 1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
| 1588871628 | Country Estates Inc | Assisted Living Facility | 240 Peregrine Drive, Fairbanks, AK 99712 | 2007-05-17 |
| 1275754012 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 7609 Chena Hot Springs Rd, Fairbanks, AK 99712 | 2007-05-01 |
| 1750717922 | Moveit Physical Therapy, LLC | Clinic/Center | 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 | 2013-09-19 |
| 1144669052 | Jessica Revells | Occupational Therapy Assistant | 734 Manchester Loop, Fairbanks, AK 99712-1120 | 2013-06-25 |
| 1134455397 | Farmers Loop Home, LLC | Assisted Living Facility | 1002 Senate Loop, 1002 Senate Loop, Fairbanks, AK 99712-1130 | 2009-10-22 |
| 1417227752 | Viola L Mccain | Social Worker | 1335 Skyline Dr, Fairbanks, AK 99712-1151 | 2012-01-04 |
| Find all providers in zip 99712 | ||||
| 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 |
|---|---|---|---|---|
| 1457919227 | Janne Holmberg Maier | Dietitian, Registered | 250 Cushman St Ste 3h, Fairbanks, AK 99701-4665 | 2019-06-05 |
| 1770004400 | Virginia Paige Dougherty | Dietitian, Registered | 726 26th Ave Ste 2, Fairbanks, AK 99701-7043 | 2017-07-03 |
| 1588636526 | Lisa Carole Hill | Dietitian, Registered | 1919 Lathrop Street, Suite 122, Fairbanks, AK 99701 | 2006-02-03 |
| 1033100110 | Cindy Jane Salmon | Dietitian, Registered | 828 Crossman Rd, Fairbanks, AK 99712-1413 | 2005-10-28 |
| 1457982357 | Sarah Ollenburger | Dietitian, Registered | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-01-29 |
| 1154821593 | Shelby A Braun | Dietitian, Registered | 1001 Noble St, Fairbanks, AK 99701-4948 | 2018-02-12 |
| 1437691771 | Katie Garrity | Dietitian, Registered | 1001 Noble St, Suite 450, Fairbanks, AK 99701-4948 | 2016-11-16 |
| 1013467273 | Anne Burtness | Dietitian, Registered | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2016-10-11 |
| 1538614862 | Celine Siddall | Dietitian, Registered | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2016-08-16 |
| 1801240221 | Heather Powers | Dietitian, Registered | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-04-21 |
| Find all providers in FAIRBANKS | ||||
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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.