PAMELA OLIPHANT (NPI# 1174072326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174072326 |
| Entity Type | Individual |
| Full Name | PAMELA OLIPHANT |
| Practice Address |
1100 F Ave Douglas AZ 85607-1919 |
| Mailing Address |
155 Calle Portal Suite 100 Sierra Vista AZ 85635-2900 |
| Practice Telephone | 5203643285 |
| Practice Fax Number | 5203643378 |
| Mailing Telephone | 5204593011 |
| Mailing Fax Number | 5205158663 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 706300 | Dietary & Nutritional Service Providers |
| Street Address |
1100 F AVE |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584369 | Mario Fragoso | Dentist | 1100 F Ave, Douglas, AZ 85607-1919 | 2005-08-03 |
| 1982103479 | Heidy H Anway | Dental Hygienist | 1100 F Ave, Douglas, AZ 85607-1919 | 2018-02-09 |
| 1598276834 | Ninive Alejandra Quijada | Dental Hygienist | 1100 F Ave, Douglas, AZ 85607-1919 | 2017-10-13 |
| 1851751143 | Sarah Elizabeth Snapp | Dietitian, Registered | 1100 F Ave, Douglas, AZ 85607-1919 | 2016-02-29 |
| 1497131510 | Christopher Rogowski | Dentist | 1100 F Ave, Douglas, AZ 85607-1919 | 2015-07-31 |
| 1578996468 | Luis Ernesto Garcia Suero | Internal Medicine | 1100 F Ave, Douglas, AZ 85607-1919 | 2013-08-14 |
| 1437582558 | Juan Salvador Perez Gomez | Internal Medicine | 1100 F Ave, Douglas, AZ 85607-1919 | 2013-08-13 |
| 1275965683 | Maryslenni Gil | Internal Medicine | 1100 F Ave, Douglas, AZ 85607-1919 | 2013-08-08 |
| 1659614386 | Primarosa A Cardenas | Family Medicine | 1100 F Ave, Douglas, AZ 85607-1919 | 2013-04-01 |
| 1346594462 | Galyna Rudnikova Flink | Dentist | 1100 F Ave, Douglas, AZ 85607-1919 | 2012-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| 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 |
|---|---|---|---|---|
| 1164049615 | Bonnie Dee Whitfield | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-07-01 |
| 1841719234 | Heather Cason Carver | Dietitian, Registered | 204 Gaskin Ave N, Douglas, GA 31533-0400 | 2017-09-17 |
| 1730449661 | Leslie Renee Harper | Dietitian, Registered | 1351 Gordon St W, Apt. A28, Douglas, GA 31533-3434 | 2012-05-25 |
| 1538332820 | Ashley M Littleton | Dietitian, Registered | 700 E Center St, Douglas, WY 82633-2446 | 2008-04-08 |
| 1851991095 | Smart Choice Nutrition | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-10-27 |
| 1861989816 | Heather Brooke Taylor | Dietitian, Registered | 1111 Baker Hwy W, Douglas, GA 31533-2107 | 2018-04-16 |
| 1932611332 | Carver Nutrition, LLC | Dietitian, Registered | 204 Gaskin Ave N, Douglas, GA 31533-0400 | 2017-10-26 |
| 1851751143 | Sarah Elizabeth Snapp | Dietitian, Registered | 1100 F Ave, Douglas, AZ 85607-1919 | 2016-02-29 |
| 1003177379 | Brenda Kay James | Dietitian, Registered | 815 E 15th St, Douglas, AZ 85607-1631 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395497 | Emily Verebelyi | Dietitian, Registered | 7525 E Placita De La Poesia, Tucson, AZ 85750-7200 | 2020-11-01 |
| 1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
| 1346849023 | Emmie Mae Olivas | Dietitian, Registered | 1126 N Melody Cir, Chandler, AZ 85225-1695 | 2020-10-22 |
| 1699373985 | Ke Luo | Dietitian, Registered | 8771 N Ash Grove Ct, Tucson, AZ 85742-1411 | 2020-10-09 |
| 1740897859 | Gabrielle Dunlavey | Dietitian, Registered | 7950 E Starlight Way Unit 144, Scottsdale, AZ 85250-6133 | 2020-09-24 |
| 1558977538 | Michelle Hathaway | Dietitian, Registered | 10752 N 89th Pl Ste 114b, Scottsdale, AZ 85260-6730 | 2020-09-16 |
| 1770194615 | Lauren Ashley Duda | Dietitian, Registered | 5917 E Kings Ave, Scottsdale, AZ 85254-1318 | 2020-08-13 |
| 1407467343 | Emily Claire Pelham | Dietitian, Registered | 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 | 2020-08-13 |
| 1225648827 | Kelly Michelle Clarken | Dietitian, Registered | 3220 W Ina Rd Apt 4202, Tucson, AZ 85741-2164 | 2020-08-07 |
| 1528678232 | Jodi Roark Charvoz | Dietitian, Registered | 5202 E 4th St, Tucson, AZ 85711-2302 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PAMELA OLIPHANT.
| 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.