KRISTEN K MAUGHAN


Address: 600 N College Ave, Geneseo, IL 61254-1094
Phone: 3099446431

KRISTEN K MAUGHAN (NPI# 1164926945) 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) 1164926945
Entity Type Individual
Full Name KRISTEN K MAUGHAN
Credential MS,RDN,LDN
Practice Address 600 N College Ave
Geneseo
IL 61254-1094
Practice Telephone 3099446431
Mailing Telephone 3099446431
Enumeration Date 2018-03-19
Last Update Date 2018-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
COMMERCIAL 366008003 01

Other Providers KRISTEN MAUGHAN

NPI Name Taxonomy Address Enumeration
1528312329 Kristen Maughan Massage Therapist 22000 Willamette Dr, Ste 107, West Linn, OR 97068-3275 2012-10-31

Office Location

Street Address 600 N COLLEGE AVE
City GENESEO
State IL
Zip Code 61254-1094

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417956319 Quad Cities Kidney Center, Ltd. Clinic/Center 600 N College Ave, Suite 150, Geneseo, IL 61254-1096 2005-07-21
1528675733 Marcella Alene Miner Nurse Practitioner 600 N College Ave, Geneseo, IL 61254-1099 2020-09-30
1285278093 Kailey Nicole Limes Dietitian, Registered 600 N College Ave, Geneseo, IL 61254-1099 2019-11-05
1164065801 Staci Lynne Circello Nurse Practitioner 600 N College Ave, Geneseo, IL 61254-1099 2019-10-25
1093213308 Hammond Henry Dist Hospital Clinic/Center 600 N College Ave, Geneseo, IL 61254-1091 2018-02-01
1497207799 Brittany Courson Nurse Practitioner 600 N College Ave, Ste 102, Geneseo, IL 61254-1091 2016-11-03
1821440959 Kati Grimes Nurse Practitioner 600 N College Ave, Ste 120, Geneseo, IL 61254-1091 2016-07-13
1548620909 Fresenius Medical Care Quad Cities, LLC Clinic/Center 600 N College Ave, Suite 150, Geneseo, IL 61254-1091 2016-02-29
1285005850 Iowa Physicians Clinic Medical Foundation Physician Assistant 600 N College Ave, Suite 120, Geneseo, IL 61254-1095 2015-10-08
1053787333 Iowa Illinois Pain Consultants PC Clinic/Center 600 N College Ave, Geneseo, IL 61254-1091 2015-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891259362 Allison J Blade Nurse Practitioner 600 N College Avenue Suite 120, Geneseo, IL 61254 2019-01-29
1477070258 Aaron Thomas Wachtel, Dds Dentist 608 E. Ogden Avenue, Geneseo, IL 61254 2017-08-23
1558895722 Triston Harry Social Worker 2707 17th Street, Rock Island, IL 61254 2017-04-14
1306392980 Rebecca Woodard Counselor 2701 17 Street, Rock Island, IL 61254 2016-09-01
1164701082 Kara Wiedenhoeft Physical Therapist 29 Meadowbrook Drive, Geneseo, IL 61254 2011-08-09
1982256301 Jalyn April Salas Occupational Therapy Assistant 704 S Illinois St, Geneseo, IL 61254 2019-07-15
1306318001 Ashley Mclaughlin Social Worker 2701 17th St, Rock Island, IL 61254 2018-12-19
1144747858 Logan Hagerman Counselor 2701 17th St, Rock Island, IL 61254 2017-08-23
1013454677 Amber Leanne Cozad Counselor 2701 17th St, Rock Island, IL 61254 2017-01-20
1457898173 Paul Schmidt Counselor 2701 17th Street, Rock Island, IL 61254 2017-01-20
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851572903 Victoria Bean Dietitian, Registered 204 Oakwood Pl, Geneseo, IL 61254-1908 2007-11-16
1285278093 Kailey Nicole Limes Dietitian, Registered 600 N College Ave, Geneseo, IL 61254-1099 2019-11-05
1003094053 Kathy Ann Peed Dietitian, Registered 600 N College Ave, Geneseo, IL 61254-1091 2008-02-01
1386703643 Marcia Ann Wirth Dietitian, Registered 600 N College Ave, Geneseo, IL 61254-1091 2006-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598366726 Frankie O'brien Dietitian, Registered 2551 N Clark St Ste 400, Chicago, IL 60614-7725 2020-11-04
1841891207 Elizabeth Kristin Julius Dietitian, Registered 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 2020-11-03
1417556747 Jamie Anne Mayhew Dietitian, Registered 2917 W 99th Pl, Evergreen Park, IL 60805-2641 2020-10-19
1033716345 Efthemia Greco Dietitian, Registered 9654 Kelley Ln, Huntley, IL 60142-0058 2020-10-08
1679170203 Lotus Therapy Group Inc Dietitian, Registered 112 Kansas St, Frankfort, IL 60423-1447 2020-10-06
1447857065 Tran Huynh Dietitian, Registered 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 2020-10-06
1033716113 Ulani Villanueva Dietitian, Registered 470 Pfingsten Road, Northbrook, IL 60062-2506 2020-10-02
1780281873 Alyssa Marie Post Dietitian, Registered 3512 Rollingridge Rd, Naperville, IL 60564-8298 2020-10-02
1285231324 Megan Rhodes Dietitian, Registered 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 2020-10-01
1508473711 Susan Faith Madnek-oxman Dietitian, Registered 1051 Wade St, Highland Park, IL 60035-4153 2020-09-30
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Competitor

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City GENESEO
Zip Code 61254

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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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