MRS. JENNIFER LIND WOMACK (NPI# 1205931839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205931839 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LIND WOMACK |
| Credential | R.D., C.D.E. |
| Practice Address |
5300 S. Highway 95 Ste A Fort Mohave AZ 86426 |
| Mailing Address |
P.0. Box 9479 Fort Mohave AZ 86426 |
| Practice Telephone | 9287689496 |
| Mailing Telephone | 9287689496 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 817192 | AZ | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0258900 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205262383 | Jennifer Womack | Home Health Aide | 4099 Afton Elklick Rd, Batavia, OH 45103-9407 | 2013-09-19 |
| 1770824013 | Jennifer Nicole Womack | Counselor | 4104 N Hall St Apt 106, Dallas, TX 75219-5627 | 2013-03-12 |
| 1629222120 | Jennifer Lauren Womack | Physician Assistant | 4950 Essen Ln Ste 400, Baton Rouge, LA 70809 | 2008-11-11 |
| 1194332544 | Jennifer Arlene Womack | Behavior Technician | 407 Glenn Ave, Egg Harbor Township, NJ 08234-6109 | 2020-09-29 |
| 1508325135 | Jennifer Michelle Womack | Behavioral Analyst | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2019-03-13 |
| 1598268195 | Jennifer Womack | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2018-03-10 |
| 1518377860 | Jennifer Womack | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2014-05-07 |
| 1629198338 | Jennifer L Womack | Speech-Language Pathologist | 2505 Lakeview Dr Ste 302, Amarillo, TX 79109-1523 | 2007-03-29 |
| 1932278199 | Jennifer Womack | Occupational Therapist | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-11-06 |
| Street Address |
5300 S. HIGHWAY 95 STE A |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| 1669413050 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1512 Jill Way, Ste 5 & 6, Fort Mohave, AZ 86426 | 2006-06-09 |
| Find all providers in zip 86426 | ||||
| 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 |
|---|---|---|---|---|
| 1730253865 | Vicky Renee Conder-elliott | Dietitian, Registered | 2044 Moon Mountain Pl, Fort Mohave, AZ 86426-5376 | 2006-11-20 |
| 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 | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
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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.