TINA BRAETTHOMAS


Address: 707 Sheridan Ave, Cody, WY 82414-3409
Phone: 3075277561

TINA BRAETTHOMAS (NPI# 1255484945) 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) 1255484945
Entity Type Individual
Full Name TINA BRAETTHOMAS
Credential RD
Practice Address 707 Sheridan Ave
Cody
WY 82414-3409
Mailing Address Po Box 35100
Billings
MT 59107-5100
Practice Telephone 3075277561
Mailing Telephone 4062382500
Enumeration Date 2007-01-18
Last Update Date 2014-12-02
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
WY WY BCBS PIN 312877 01

Office Location

Street Address 707 SHERIDAN AVE
City CODY
State WY
Zip Code 82414-3409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013900547 Gregory H Cross II Radiology 707 Sheridan Ave, Cody, WY 82414-3409 2005-08-30
1528688207 Christa Jeane Buhler Social Worker 707 Sheridan Ave, Cody, WY 82414-3409 2020-04-22
1730709437 Amber Shier Social Worker 707 Sheridan Ave, Cody, WY 82414-3409 2020-04-22
1730719550 Hospitalist Medicine Physicians of Wyoming - Casper, LLC Internal Medicine 707 Sheridan Ave, Cody, WY 82414-3409 2020-01-21
1932683869 Lauren S Thompson Counselor 707 Sheridan Ave, Cody, WY 82414-3409 2018-09-17
1528563301 Brian Casey Coe Emergency Medical Technician, Paramedic 707 Sheridan Ave, Cody, WY 82414-3409 2018-03-26
1649773185 Jonathan Jacobs Emergency Medical Technician, Paramedic 707 Sheridan Ave, Cody, WY 82414-3409 2018-03-12
1265941306 Brent Adam Mcallister Nurse Anesthetist, Certified Registered 707 Sheridan Ave, Cody, WY 82414-3409 2017-09-20
1295282457 Steven A. Bischoff Physician Assistant 707 Sheridan Ave, Cody, WY 82414-3409 2016-09-06
1427503648 Heather Peatross Brinkerhoff Dietitian, Registered 707 Sheridan Ave, Cody, WY 82414-3409 2016-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073969374 Melody Griebel Counselor 3026 Hardpan Ave., Unit A, Cody, WY 82414 2016-05-05
1073856431 Christopher David Rice Orthopaedic Surgery 720 Lindsay Ln Ste C, Cody, WY 82414 2013-04-03
1629322037 William H. and Carrie Gottsche Foundation Point of Service 790 Lindsay Ln, Cody, WY 82414 2012-11-07
1831445162 Ryan T Vincent Physical Therapist 1526 Rumsey Ave, Cody, WY 82414 2012-07-24
1952699043 Angela Mae Marchant Physical Therapist 1819 Sheridan Ave., Cody, WY 82414 2011-07-11
1245556943 Lori Grubbs Swanton Physical Therapist 1130 Sheridan Ave Ste 210, Cody, WY 82414 2010-04-20
1629304589 Big Horn Basin Childrens Clinic PC Pediatrics 1220 Sunshine Ave Suite 101, Cody, WY 82414 2009-10-28
1851539043 Laurie Dee Hipwell Registered Nurse 424 Yellowstone Ave Ste 320, Cody, WY 82414 2009-01-27
1790933356 Cynthia Shook Ruth Physical Therapist 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 2008-09-08
1386818185 Nancy Joy Simpson Registered Nurse 73 Green Creek, Cody, WY 82414 2008-04-14
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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
1730613209 Linda M Cardinal Dietitian, Registered 1001 Canyon View Ave, Apt 1, Cody, WY 82414-3095 2017-04-12
1902172562 Lucinda Marie Atnip Dietitian, Registered 5642 Greybull Hwy, Cody, WY 82414-9618 2012-03-28
1427503648 Heather Peatross Brinkerhoff Dietitian, Registered 707 Sheridan Ave, Cody, WY 82414-3409 2016-08-17
1730290594 Elizabeth Fabrizio Dietitian, Registered 707 Sheridan Ave, Cody, WY 82414 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982228193 Suzanne Mae Bowser Dietitian, Registered 973 Lane 38, Burlington, WY 82411-9700 2020-06-03
1760039457 Lauren Michelle Gibbs Dietitian, Registered 2304 Pioneer Ave, Cheyenne, WY 82001-3612 2019-08-19
1659840403 Hannah Lee Tripp Dietitian, Registered 1440 N West St., Wilson, WY 83014 2018-11-21
1831690841 Tenika Leigh Eardley Dietitian, Registered 1351 N 8th St, Greybull, WY 82426-1504 2018-02-24
1497268650 Candace Garner Dietitian, Registered 603 Riverside St, Sheridan, WY 82801-6120 2017-11-09
1053822387 Diana Lynn Ohman Dietitian, Registered 709 West Eighth Street, Suite 4, Gillette, WY 82716 2017-10-13
1912442682 Lindsey Thurmes Mccoy Dietitian, Registered 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 2017-01-04
1033661525 Christina M Crowder Anderson Dietitian, Registered 1321 Concerto Ln, Cheyenne, WY 82007-3697 2016-10-31
1770936536 Meagan Day Dietitian, Registered 611 E Carlson St Ste 117, Cheyenne, WY 82009-4335 2016-07-18
1811368996 Jamie M. Marchetti Dietitian, Registered 2001 W Lakeway Rd Ste E, Gillette, WY 82718-5774 2015-10-14
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Competitor

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City CODY
Zip Code 82414

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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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