MS. MARY NELL SOUTHARD (NPI# 1144343849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144343849 |
| Entity Type | Individual |
| Full Name | MS. MARY NELL SOUTHARD |
| Credential | R.D.,L.D. |
| Practice Address |
1 Choctaw Way Nutrition Services Talihina OK 74571-2022 |
| Mailing Address |
Hc 69 Box 245 Snow OK 74567-9717 |
| Practice Telephone | 9185677000 |
| Mailing Telephone | 9187554364 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 119 | OK | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318072 | Mary Southard | Pharmacist | 2775 Sanders Rd, Northbrook, IL 60062-6110 | 2016-03-10 |
| 1164810867 | Mary Elizabeth Southard | Counselor | 56 N 2nd St, Macclenny, FL 32063-2206 | 2015-01-03 |
| Street Address |
1 CHOCTAW WAY NUTRITION SERVICES |
| City | TALIHINA |
| State | OK |
| Zip Code | 74571-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596791 | Clinton D Bullock | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2005-05-24 |
| 1568089555 | Robert Benjamin Bowman | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-25 |
| 1851917363 | Rashad Mohamed Riazuddin | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-20 |
| 1144846635 | Saranah Isenberg | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-19 |
| 1083233043 | Ethan Hight Linscott | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-04-10 |
| 1104466010 | Crystal Renee Collins | Respiratory Therapist, Certified | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-01-08 |
| 1619514213 | Ashley Danielle Devaughan | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-12-03 |
| 1134761158 | Julie Collins | Dietitian, Registered | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-10-10 |
| 1114569423 | Caroline Jalen Couch | Occupational Therapist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-10-09 |
| 1376104893 | Eric Allen Gillette | Family Medicine | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679033914 | Megan Ann Louise Hall | Peer Specialist | 908 Dallas Street, Talihina, OK 74571 | 2019-03-22 |
| 1447736764 | Harper Ranch & Enterprises LLC | Nurse Practitioner | 308 Second St., Talihina, OK 74571 | 2018-07-19 |
| 1588161004 | Bailee Marie Mcconnell | Peer Specialist | 14476 Se 2022nd Rd, Talhina, OK 74571 | 2018-04-11 |
| 1932644002 | Laura Ashley Sanford | Family Medicine | 205 Dallas Street, Talihina Community Clinic, Talihina, OK 74571 | 2016-12-28 |
| 1003362583 | Tammy Serena Adams | Behavioral Analyst | 903 Dallas Street, Talihina, OK 74571 | 2016-08-25 |
| 1356735963 | Millennium Community | Case Management | 308 Veterans Street, Talihina, OK 74571 | 2015-03-20 |
| 1225449176 | Millenium | Case Management | 308 Veterans Ave, Talihina, OK 74571 | 2014-05-14 |
| 1366881013 | Tisha J Fitzgerald | Counselor | 508 Veterans, Talihina, OK 74571 | 2013-06-17 |
| 1295075406 | Millennium Community Service | Community/Behavioral Health | 53565 Williams Ave., Talihina, OK 74571 | 2013-02-25 |
| 1649548413 | Kimberly Stegall | Counselor | 501 Veterans Street, V, Talihina, OK 74571 | 2011-12-08 |
| Find all providers in zip 74571 | ||||
| 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 |
|---|---|---|---|---|
| 1134761158 | Julie Collins | Dietitian, Registered | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-10-10 |
| 1801064589 | Erin Canaday Adams | Dietitian, Registered | 1 Choctaw Way, Talihina, OK 74571-2022 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506411 | Candance Elaine Gabel | Dietitian, Registered | 220 S 2nd Ct, Stillwater, OK 74074-6732 | 2020-10-26 |
| 1326646852 | Lori Mathews | Dietitian, Registered | 2821 36th Ave Nw Ste 150, Norman, OK 73072-2472 | 2020-10-16 |
| 1437756947 | Malorie Scherf | Dietitian, Registered | 8751 N 97th East Ave Apt 917, Owasso, OK 74055-6887 | 2020-10-07 |
| 1154928216 | Shaina Sara Yohannan | Dietitian, Registered | 9028 Nw 84th St, Yukon, OK 73099-8677 | 2020-10-01 |
| 1598370066 | Laci N Patterson | Dietitian, Registered | 9401 Prosper Dr, Oklahoma City, OK 73151-8811 | 2020-09-11 |
| 1619586534 | Amanda Kate Tucker | Dietitian, Registered | 312 12th Ave Ne, Norman, OK 73071-5238 | 2020-07-27 |
| 1154939452 | Cornerstone Nutrition & Diabetes, Pllc | Dietitian, Registered | 2500 Boardwalk Ste 220, Norman, OK 73069-6593 | 2020-07-22 |
| 1558989335 | Angelica Martinez De Loera | Dietitian, Registered | 7761 Alameda St, Norman, OK 73026-3738 | 2020-07-08 |
| 1326665548 | Olivia Jean Trout | Dietitian, Registered | 4311 Se 57th St, Oklahoma City, OK 73135-3308 | 2020-07-03 |
| 1447875471 | Nicholas A Koemel | Dietitian, Registered | 3724 W 32nd Ave, Stillwater, OK 74074-1724 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
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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.