TRACEY ELIZABETH TIMMONS (NPI# 1104172261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104172261 |
| Entity Type | Individual |
| Full Name | TRACEY ELIZABETH TIMMONS |
| Credential | MS, RD, LDN |
| Practice Address |
3236 Kirkman St Lake Charles LA 70601-8640 |
| Mailing Address |
4650 Nelson Rd Apt 616 Lake Charles LA 70605-0801 |
| Practice Telephone | 3374802632 |
| Practice Fax Number | 3374758613 |
| Mailing Telephone | 3374790473 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1847 | LA | Dietary & Nutritional Service Providers |
| Street Address |
3236 KIRKMAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820521 | Beverly Alice Hiatt | Nurse Practitioner | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2005-06-13 |
| 1396396040 | Heidi Crystal Wooten | Registered Nurse | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2019-09-24 |
| 1255819595 | Myra S Vincent | Registered Nurse | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2018-07-30 |
| 1841649043 | Laura Webb | Registered Nurse | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2016-06-08 |
| 1760842488 | Amy Donovan | Registered Nurse | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2016-02-24 |
| 1114331543 | Rebecca Theresa Clark | Registered Nurse | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2014-06-13 |
| 1841629789 | Kelly Bower | Registered Nurse | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2013-11-01 |
| 1750636783 | Lisa Sullivan | Registered Nurse | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2012-07-16 |
| 1104181320 | Marsha L Goodly | Registered Nurse | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2012-07-13 |
| 1285989418 | Contessa Guillory-brown | Registered Nurse | 3236 Kirkman St, Lake Charles, LA 70601-8640 | 2012-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1770081721 | Vanessa Hardy | Dietitian, Registered | 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605-5362 | 2018-01-24 |
| 1659725802 | Shatonia Mccarty | Dietitian, Registered | 6675 Highway 90 E Trlr 218, Lake Charles, LA 70615-4769 | 2016-04-13 |
| 1215300835 | Kyle Blanton | Dietitian, Registered | 707a E. Prien Lake Rd., Lake Charles, LA 70601 | 2015-11-04 |
| 1548646599 | Eljeana Quebedeaux | Dietitian, Registered | 902 S Kade, Lake Charles, LA 70605-7189 | 2015-07-31 |
| 1942508981 | Jacqueline Brown Richard | Dietitian, Registered | 524 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2011-02-28 |
| 1053374595 | Samantha A Rider | Dietitian, Registered | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2006-04-07 |
| 1952363459 | Stephanie J Stanfield | Dietitian, Registered | 721 Bayou Pines East Dr, Lake Charles, LA 70601-7183 | 2006-04-03 |
| 1154982460 | Nicholas Nutrition & Optimal Wellness Now | Dietitian, Registered | 4007 W Walton St, Lake Charles, LA 70607-3656 | 2019-06-26 |
| 1043787302 | Courtney E Foch Labove | Dietitian, Registered | 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605-5392 | 2018-10-25 |
| 1043621089 | Hailey Crawford | Dietitian, Registered | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-05-13 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.