TANA D INGRAM (NPI# 1124500681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124500681 |
| Entity Type | Individual |
| Full Name | TANA D INGRAM |
| Credential | MS, RDN |
| Practice Address |
1840 E Broadway Rd Tempe AZ 85282-1614 |
| Mailing Address |
22072 E Pecan Dr Queen Creek AZ 85142-4895 |
| Practice Telephone | 4804950314 |
| Mailing Telephone | 4804950314 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86069798 | Dietary & Nutritional Service Providers |
| Street Address |
1840 E BROADWAY RD |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359109 | Roxie Anderson | Nurse Practitioner | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2005-10-07 |
| 1043819733 | Blessy Joseph | Nurse Practitioner | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2020-10-22 |
| 1164902011 | Jessica Lynn Leslie | Dietitian, Registered | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2018-08-20 |
| 1598214066 | Jody Ortman | Psychologist | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2016-09-26 |
| 1962816876 | Stephanie Ayita Jugmohan | Family Medicine | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2014-06-18 |
| 1891107322 | Dawn Christia Bridges-jones | Registered Nurse | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2014-06-02 |
| 1134413180 | Jake B Barnard | Pediatrics | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2011-06-07 |
| 1437395316 | Sabrina Eymer Marmont | Nurse Practitioner | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2008-12-26 |
| 1376640656 | Mountain Park Health Center | Clinic/Center | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2006-09-20 |
| 1588613707 | John C Avery | Family Medicine | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2006-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
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| 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 |
| 1164902011 | Jessica Lynn Leslie | Dietitian, Registered | 1840 E Broadway Rd, Tempe, AZ 85282-1614 | 2018-08-20 |
| 1871083584 | Sarah Kiser | Dietitian, Registered | 7850 S Hardy Dr Ste 105, Tempe, AZ 85284-1122 | 2018-05-17 |
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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.