WENDERLAIN WALLEY


Address: 242 Shake Rag Rd, Clinton, AR 72031-6629
Phone: 5017456644

WENDERLAIN WALLEY (NPI# 1144674482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144674482
Entity Type Individual
Full Name WENDERLAIN WALLEY
Credential DIETARY SUPERVISOR
Practice Address 242 Shake Rag Rd
Clinton
AR 72031-6629
Mailing Address Po Box 1589
Benton
AR 72018-1589
Practice Telephone 5017456644
Mailing Telephone 5013153344
Enumeration Date 2016-04-22
Last Update Date 2016-04-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 132700000X Dietary Manager AR Dietary & Nutritional Service Providers

Office Location

Street Address 242 SHAKE RAG RD
City CLINTON
State AR
Zip Code 72031-6629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215087572 Sandra Hope Bondelier Social Worker 242 Shake Rag Rd, Clinton, AR 72031-6629 2007-01-11
1316545445 Jentry Wade Case Manager/Care Coordinator 242 Shake Rag Rd, Clinton, AR 72031-6629 2020-10-12
1780209478 Mary Halford Case Manager/Care Coordinator 242 Shake Rag Rd, Clinton, AR 72031-6629 2020-06-09
1861017550 Seriah Ross Case Manager/Care Coordinator 242 Shake Rag Rd, Clinton, AR 72031-6629 2020-06-09
1457987091 Payton Gadberry Case Manager/Care Coordinator 242 Shake Rag Rd, Clinton, AR 72031-6629 2020-03-16
1750917415 Tiffani Scroggins Case Manager/Care Coordinator 242 Shake Rag Rd, Clinton, AR 72031-6629 2020-03-13
1518593268 Shanean Fulbright Case Manager/Care Coordinator 242 Shake Rag Rd, Clinton, AR 72031-6629 2020-03-13
1225669369 Abby Sanders Case Manager/Care Coordinator 242 Shake Rag Rd, Clinton, AR 72031-6629 2020-01-28
1952932097 Jenny Andrews Case Manager/Care Coordinator 242 Shake Rag Rd, Clinton, AR 72031-6629 2020-01-28
1578194619 Nancy Croston Case Manager/Care Coordinator 242 Shake Rag Rd, Clinton, AR 72031-6629 2020-01-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447857909 Marinda Renee Bryan Pharmacist 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 2020-10-07
1740898584 Jamie Beavers Dds, P.a. Dentist 354 Main Street, Clinton, AR 72031 2020-07-17
1992352637 Peggy Michelle Mann Occupational Therapy Assistant 765 Yellow Jacket Lane, Clinton, AR 72031 2019-08-19
1225518475 Rebecca Sangi Counselor 244 U.S. 65, Suite 6, Clinton, AR 72031 2018-08-17
1437668175 Caitlin Abiseid Shull Nurse Practitioner 194 Shake Rag Rd, Clinton, AR 72031 2017-09-26
1386048890 Jones Family Pharmacy Inc. Pharmacy 1930 Hwy 65 South, Clinton, AR 72031 2014-10-13
1275846784 Timeless Family Chiropractic, LLC Chiropractor 116 Maxwell St., Clinton, AR 72031 2010-07-26
1417189481 Karen Thomas Case Manager/Care Coordinator 1303 Hwy 65, Suite 3, Clinton, AR 72031 2009-08-10
1962637082 Conway County Community Service Inc Community/Behavioral Health Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 2009-05-19
1699910596 Dorthy D Hill Behavioral Analyst 1681 Hwy 65 S, Clinton, AR 72031 2008-12-05
Find all providers in zip 72031

Taxonomy Information

Taxonomy Code 132700000X
Grouping Dietary & Nutritional Service Providers
Classification Dietary Manager

Taxonomy Definition

A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255578142 Sarah Hall Dietary Manager 242 Shake Rag Rd, Clinton, AR 72031-6629 2009-01-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013287200 Tawnya Marie Osborn Dietary Manager Box 931 Highway 5, Rosebud, AR 72137 2012-01-05
1831517259 Ana Castro-mejia Dietary Manager 1506 Mary Kay Blvd, Benton, AR 72015 2014-04-02
1275960759 Lisa Bass Dietary Manager 522 Mill Rd, Clarksville, AR 72830-8511 2013-09-30
1558604819 Isabell Kesari Gervais Dietary Manager 4210 N Frontage Rd, Suite B, Fayetteville, AR 72703-5001 2013-04-04
1003029208 Veronica Witt Dietary Manager 706 N Brown St, Clarksville, AR 72830-2732 2007-05-07

Competitor

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City CLINTON
Zip Code 72031

Improve Information

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Dataset Information

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.

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