MISTY DAWN BLOUGH HILDENBRAND (NPI# 1194292987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194292987 |
Entity Type | Individual |
Full Name | MISTY DAWN BLOUGH HILDENBRAND |
Credential | MS, RD, LN |
Practice Address |
401 9th Ave Nw Watertown SD 57201-1548 |
Mailing Address |
29 6th St Ne Watertown SD 57201-3716 |
Practice Telephone | 6058827874 |
Enumeration Date | 2018-10-30 |
Last Update Date | 2018-10-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
Street Address |
401 9TH AVE NW |
City | WATERTOWN |
State | SD |
Zip Code | 57201-1548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669477287 | Steven E Miller | Internal Medicine | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2005-06-20 |
1306485172 | Haley Marie Ellis | Registered Nurse | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2019-12-27 |
1871136549 | Shelly Eileen Holida | Speech-Language Pathologist | 401 9th Ave Nw, Watertown, SD 57201-1599 | 2019-10-24 |
1366916645 | Kari Ann Berg | Registered Nurse | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2019-01-19 |
1548778897 | Heidi Wirtjes | Social Worker | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-01-19 |
1134637796 | Amanda L Schaeffer | Social Worker | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-01-17 |
1063920890 | Sara Leigh Crawford Foust | Social Worker | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-01-15 |
1972023083 | Katelynn Elizabeth Bailey | Emergency Medicine | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2017-06-21 |
1811431877 | Megan Merkel | Nurse Practitioner | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2016-12-10 |
1316493208 | Sara Berreth | Dietitian, Registered | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2016-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
Find all providers in zip 57201 |
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 |
---|---|---|---|---|
1003448085 | Mariana Olga Serback | Dietitian, Registered | 19500 Woodside Dr, Watertown, NY 13601-4458 | 2020-02-07 |
1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
1265097984 | Sarah Zappone | Dietitian, Registered | 350 Claxton Ave, Watertown, CT 06795-1947 | 2019-05-08 |
1619452059 | Rachel M Caine | Dietitian, Registered | 83 Palfrey St, Watertown, MA 02472-4705 | 2018-10-02 |
1861990400 | Hannah Meier | Dietitian, Registered | 40 Fuller Rd, Watertown, MA 02472-3313 | 2018-01-29 |
1780112763 | Devon Haines | Dietitian, Registered | 23 Main St Fl 2, Watertown, MA 02472-4403 | 2017-06-02 |
1003266453 | Watertown Urban Mission | Dietitian, Registered | 247 Factory St, Watertown, NY 13601-2748 | 2016-06-16 |
1164812913 | Anne Godina | Dietitian, Registered | 300 Woodview Way, Unit 216, Watertown, MA 02472-4847 | 2015-02-02 |
1083029094 | Mount Auburn Athletic Club, Inc. | Dietitian, Registered | 57 Coolidge Ave, Watertown, MA 02472-2802 | 2014-06-27 |
1669883567 | Megan Wiesner | Dietitian, Registered | 3336 17th Ave Sw, Watertown, SD 57201-6005 | 2014-05-13 |
Find all providers in WATERTOWN |
Please comment or provide details below to improve the information on MISTY DAWN BLOUGH HILDENBRAND.
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.