KIRSTEN WASSUM (NPI# 1124497011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124497011 |
| Entity Type | Individual |
| Full Name | KIRSTEN WASSUM |
| Other Name | KIRSTEN CLAWSON |
| Practice Address |
1492 S Mill Ave Suite 312 Tempe AZ 85281-5652 |
| Mailing Address |
2702 N 3rd St Suite 4020 Phoenix AZ 85004-1130 |
| Practice Telephone | 6022437277 |
| Practice Fax Number | 4809271092 |
| Mailing Telephone | 6023233393 |
| Mailing Fax Number | 6023233399 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86012086 | AZ | Dietary & Nutritional Service Providers |
| Street Address |
1492 S MILL AVE SUITE 312 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899448 | Patricia Gail Romo | Midwife | 1492 S Mill Ave, Suite 306, Tempe, AZ 85281-5652 | 2005-05-27 |
| 1467092130 | Physician Group of Arizona Inc | Orthopaedic Surgery | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 | 2020-01-10 |
| 1972047066 | Renee Williams | Specialist/Technologist | 1492 S Mill Ave, Tempe, AZ 85281-5652 | 2016-12-08 |
| 1346783354 | Alexis King | Specialist/Technologist | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5652 | 2016-11-22 |
| 1912367038 | Justin Chappell | Physical Therapist | 1492 S Mill Ave, 211, Tempe, AZ 85281-5652 | 2016-03-02 |
| 1962874446 | Danica Bennett | Physician Assistant | 1492 S Mill Ave, #113, Tempe, AZ 85281-5652 | 2015-10-23 |
| 1154754216 | Marshall Hiller | Physical Therapist | 1492 S Mill Ave, Suite 211, Tempe, AZ 85281-5652 | 2013-08-13 |
| 1760721161 | Bernadine R Miu | Nurse Practitioner | 1492 S Mill Ave, Suite 312, Tempe, AZ 85281-5652 | 2013-02-05 |
| 1033482823 | Crystal Monique Fix | Specialist/Technologist | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5652 | 2012-02-09 |
| 1568746139 | Leila Miller | Physician Assistant | 1492 S Mill Ave, Suite 301, Tempe, AZ 85281-5652 | 2011-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
| Find all providers in zip 85281 | ||||
| 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 |
|---|---|---|---|---|
| 1134775422 | Kali Renea Gallaher | Dietitian, Registered | 3501 S Mcclintock Dr Apt 1086, Tempe, AZ 85282-5873 | 2019-08-13 |
| 1154884658 | Mst Sultana | Dietitian, Registered | 600 E Baseline Rd Ste B-2, Tempe, AZ 85283-1266 | 2019-04-11 |
| 1255817052 | Anna De Jesus | Dietitian, Registered | 203 W Greentree Dr, Tempe, AZ 85284-3002 | 2018-07-14 |
| 1518401884 | Katy Christinn Stemple | Dietitian, Registered | 435 S Roosevelt St, Tempe, AZ 85281-2738 | 2016-12-06 |
| 1346625654 | Terri Verason | Dietitian, Registered | 510 S 52nd St Ste 101, Tempe, AZ 85281-7225 | 2015-07-28 |
| 1033486972 | Tracey A. Grant | Dietitian, Registered | 1046 E Wesleyan Dr, Tempe, AZ 85282-3819 | 2011-11-21 |
| 1336423128 | Leah J. Rucker | Dietitian, Registered | 221 W Knox Rd, Tempe, AZ 85284-3016 | 2011-09-28 |
| 1972899201 | Katie J Mcwhirter | Dietitian, Registered | 237 E Minton Dr, Tempe, AZ 85282-6725 | 2011-06-24 |
| 1124500681 | Tana D Ingram | Dietitian, Registered | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2018-08-31 |
| 1164902011 | Jessica Lynn Leslie | Dietitian, Registered | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2018-08-20 |
| Find all providers in TEMPE | ||||
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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.