NICOLE MOSELEY-WIILLIAMS (NPI# 1104487115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104487115 |
| Entity Type | Individual |
| Full Name | NICOLE MOSELEY-WIILLIAMS |
| Practice Address |
1120 W Rose St Walla Walla WA 99362-1662 |
| Practice Telephone | 5095250422 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 60968791 | WA | Dietary & Nutritional Service Providers |
| Street Address |
1120 W ROSE ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497732127 | Benjamin Rodriguez | Internal Medicine | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2005-12-22 |
| 1699305185 | Amanda Burks | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2020-01-23 |
| 1245882042 | Kathryn Leigh Anderson | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-07-11 |
| 1700438793 | Tanner Dahl | Dentist | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-07-10 |
| 1396230470 | Kara Lynn Breymeyer | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2018-06-29 |
| 1144717331 | Laboratory Corporation of America | Clinical Medical Laboratory | 1120 W Rose St, Walla Walla, WA 99362 | 2018-04-13 |
| 1679010227 | Adrienne Hernandez | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2017-01-20 |
| 1407204811 | Benjamin Nichols | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2016-05-25 |
| 1023474624 | Susan Laabs | Registered Nurse | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2016-01-12 |
| 1619353968 | Heather Dimock | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2015-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| 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 |
|---|---|---|---|---|
| 1104017425 | Rebecka Marsh Hermsen | Dietitian, Registered | Walla Walla County Health Department, 310 W. Poplar, Walla Walla, WA 99362-0346 | 2007-08-05 |
| 1467661090 | Adina B Pearson | Dietitian, Registered | 19 E Birch St Ste 102, Walla Walla, WA 99362-3205 | 2007-05-21 |
| 1245882042 | Kathryn Leigh Anderson | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-07-11 |
| 1417518739 | Nicholas Wayne Begick | Dietitian, Registered | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-06-26 |
| 1396230470 | Kara Lynn Breymeyer | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2018-06-29 |
| 1487173639 | Adina Pearson Nutrition | Dietitian, Registered | 19 E Birch St Ste 102, Walla Walla, WA 99362-3205 | 2017-09-19 |
| 1679010227 | Adrienne Hernandez | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2017-01-20 |
| 1124578133 | Michelle Dawn Grove | Dietitian, Registered | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2016-10-13 |
| 1366805434 | Anna Herby | Dietitian, Registered | 19 Southpoint Ln, Walla Walla, WA 99362-4175 | 2016-04-05 |
| 1932540317 | Kailee L Leverso | Dietitian, Registered | 55 W Tietan St, Walla Walla, WA 99362-4498 | 2013-07-12 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.