MRS. JACLYN EVA HALL (NPI# 1154721140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154721140 |
| Entity Type | Individual |
| Full Name | MRS. JACLYN EVA HALL |
| Credential | RDN, LDN |
| Practice Address |
4800 S Croatan Hwy Nags Head NC 27959-9704 |
| Practice Telephone | 2524497301 |
| Practice Fax Number | 2524495825 |
| Mailing Telephone | 2524497301 |
| Mailing Fax Number | 2524495825 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2017-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L004102 | NC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083269666 | Jaclyn Michelle Hall | Counselor | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2019-08-09 |
| 1245500644 | Jaclyn Nicole Hall | Nurse Practitioner | 1120 15th St, Biw6033, Augusta, GA 30912-0004 | 2012-01-03 |
| Street Address |
4800 S CROATAN HWY |
| City | NAGS HEAD |
| State | NC |
| Zip Code | 27959-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720075732 | Troy Haupt | Nurse Anesthetist, Certified Registered | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2005-10-04 |
| 1316548001 | Lisa Ferguson Minerich | Occupational Therapist | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2020-11-08 |
| 1295333250 | Gillian Lennox Stewart | Physical Therapist | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2020-10-13 |
| 1386279602 | Vann-virginia Center for Orthopaedics PC | Orthopaedic Surgery | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2020-03-06 |
| 1386182608 | Outer Banks Professional Services | Clinic/Center | 4800 S Croatan Hwy, Nags Head, NC 27959 | 2017-02-07 |
| 1942613443 | Taylor Ettore | Physician Assistant | 4800 S Croatan Hwy, Emergency Department, Nags Head, NC 27959-9704 | 2014-06-03 |
| 1407137300 | Lauren Allison Joyce Zaritsky | Social Worker | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2011-09-06 |
| 1538370150 | Outer Banks Hospital | Anesthesiology | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2007-05-25 |
| 1205053139 | Outer Bank Hospital Inc | Pharmacy | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2007-04-20 |
| 1821127739 | Maria Nicole Saffell | Emergency Medicine | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609124 | Charla D Huff | Counselor | 2224 S Croatan Hwy, Nags Head, Nc 27959, Nags Head, NC 27959 | 2020-08-11 |
| 1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
| 1780847392 | Brainard Lee Ackley | Chiropractor | 119 West Woodhill Drive, Suite 7, Nags Head, NC 27959 | 2008-07-03 |
| 1629241963 | Joseph Console Martone | Dentist | 2300 Croatan Highway, Suite #203, Nags Head, NC 27959 | 2008-04-08 |
| 1902096886 | Tristan Roderick | Psychologist | 2514 South Croatan Hwy, Nags Head, NC 27959 | 2007-07-27 |
| 1750593570 | Joan Beall | Counselor | 2215 Va Dare Trail, Nags Head, NC 27959 | 2007-05-04 |
| 1366654071 | William Milnor Downing Vi | Dentist | 2917 South Croatan Hwy, Nags Head, NC 27959 | 2007-05-04 |
| 1821117318 | Bear Drugs of Nags Head Inc. | Pharmacy | 4711 S. Croatan Hwy, Unit #4, Nags Head, NC 27959 | 2007-03-28 |
| 1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
| 1477607273 | Albemarle Mental Health Center | Social Worker | 2514 S Croatan Hwy, Nags Head, NC 27959 | 2007-01-22 |
| Find all providers in zip 27959 | ||||
| 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 |
|---|---|---|---|---|
| 1770184947 | Freely Fed | Dietitian, Registered | 1532 Wickerby Ct, Matthews, NC 28105-0322 | 2020-11-04 |
| 1023618774 | Shannon Vasilinda | Dietitian, Registered | 450 Lake Royale, Louisburg, NC 27549-9565 | 2020-10-30 |
| 1154921997 | Lauren Annelise Prigge | Dietitian, Registered | 3636 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-30 |
| 1659971406 | Lauren Rubio-serrano | Dietitian, Registered | 21 Mount Vernon Cir, Asheville, NC 28804-2439 | 2020-10-30 |
| 1336749407 | Doretta Wright | Dietitian, Registered | 110 Highgrove Ct, Aberdeen, NC 28315-2149 | 2020-10-28 |
| 1003414756 | Christy Nell Quirk | Dietitian, Registered | 117 Oldham Pl, Chapel Hill, NC 27516-9004 | 2020-10-14 |
| 1801493291 | Fuel Nc Nutrition | Dietitian, Registered | 1107 Capital Blvd, Raleigh, NC 27603-1113 | 2020-10-08 |
| 1033716436 | Katherine Openshaw | Dietitian, Registered | 521 Walnut Creek Dr, Goldsboro, NC 27534-8997 | 2020-10-08 |
| 1184221665 | Jennifer M Ritchie | Dietitian, Registered | 4306 Kimmeridge Rd, Greensboro, NC 27406-9303 | 2020-10-07 |
| 1659978245 | Jaclyn Lee Atwater | Dietitian, Registered | 415 Yucca Ln, Wilmington, NC 28412-1042 | 2020-10-06 |
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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.