MRS. WANDA L KING (NPI# 1154730364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154730364 |
| Entity Type | Individual |
| Full Name | MRS. WANDA L KING |
| Other Name | WANDA WILDENBERG |
| Credential | M.S., RDN, CLC |
| Practice Address |
6 Thirteenth Avenue East Poslon MT 59860 |
| Mailing Address |
Po Box 1010 Polson MT 59860-1010 |
| Practice Telephone | 4068838454 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | MED-NUTR-LIC-581 | MT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679958995 | Wanda King | Nurse Practitioner | 105 W Stone Dr, Ste 4c, Kingsport, TN 37660-3365 | 2015-07-28 |
| 1861584989 | Wanda King | Counselor | 10710 Old Highway 64, Bolivar, TN 38008-3587 | 2006-09-28 |
| Street Address |
6 THIRTEENTH AVENUE EAST |
| City | POSLON |
| State | MT |
| Zip Code | 59860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| 1477727956 | Bernadette N. Corum | Family Medicine | #5 4th Ave. East, Polson, MT 59860 | 2008-04-16 |
| Find all providers in zip 59860 | ||||
| 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 |
|---|---|---|---|---|
| 1568077964 | Hannah Wilson | Dietitian, Registered | 224 Columbia Ave, Whitefish, MT 59937-2632 | 2020-09-11 |
| 1992319669 | Colleen Rose Mcmilin | Dietitian, Registered | 562 Enterprise Blvd Apt 49, Bozeman, MT 59718-5133 | 2020-09-01 |
| 1649893140 | Lorelei Nutrition | Dietitian, Registered | 213 N Broadway Ste 4, Billings, MT 59101-1972 | 2020-05-19 |
| 1366061913 | Amelia Tavares | Dietitian, Registered | 1 Valley View Dr Ste 104, Montana City, MT 59634-9203 | 2020-04-14 |
| 1093341133 | Chloe Lundquist | Dietitian, Registered | 626 1/2 W Galena St, Butte, MT 59701-1508 | 2020-03-20 |
| 1609401496 | Cailyn Schroeder | Dietitian, Registered | 117 Hideaway Trl, Livingston, MT 59047-8933 | 2020-03-11 |
| 1801431978 | Ashlee O'dell | Dietitian, Registered | 144 3rd St W Apt 3, Whitefish, MT 59937-3055 | 2019-11-13 |
| 1750933891 | Mercedes Seidel | Dietitian, Registered | 309 E Garfield St Apt F, Bozeman, MT 59715-5729 | 2019-07-09 |
| 1225696834 | Linda Kay Fredenberg | Dietitian, Registered | 1297 Burns Way Ste 3b, Kalispell, MT 59901-3162 | 2019-05-30 |
| 1659832939 | Rene Lindeen LLC | Dietitian, Registered | 1215 24th St W Ste 130, Billings, MT 59102-3895 | 2019-03-28 |
| 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.