MISS TIFFANY MOORE BRASSARD (NPI# 1285918342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285918342 |
| Entity Type | Individual |
| Full Name | MISS TIFFANY MOORE BRASSARD |
| Credential | RD |
| Practice Address |
1050 Jabarrah Ave Seymour Johnson A F B NC 27531-2310 |
| Practice Telephone | 9197221822 |
| Practice Fax Number | 9197221952 |
| Mailing Telephone | 9197221822 |
| Mailing Fax Number | 9197221952 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L003702 | NC | Dietary & Nutritional Service Providers |
| Street Address |
1050 JABARRAH AVE |
| City | SEYMOUR JOHNSON A F B |
| State | NC |
| Zip Code | 27531-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316562 | Stephen Brian Irvin | Family Medicine | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2005-06-21 |
| 1952704975 | Andrea Sumner | Physician Assistant | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2014-10-04 |
| 1821334244 | David Layne Frederick Jr. | Military Health Care Provider | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2012-12-13 |
| 1962774356 | Logan A Latimer | Military Health Care Provider | 1050 Jabarrah Ave, Flight Medicine Clinic, Seymour Johnson A F B, NC 27531-2310 | 2012-02-01 |
| 1023306438 | Jennifer Thomas | Registered Nurse | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2011-07-19 |
| 1386937027 | Christopher Gary Keeton | Military Health Care Provider | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2011-05-26 |
| 1659501476 | Andrea M Rope | Optometrist | 1050 Jabarrah Ave, 4amds/sgge Attn: Optometry Clinic, Seymour Johnson A F B, NC 27531-2310 | 2009-07-15 |
| 1184867442 | Angela Marie Carter | Military Health Care Provider | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2009-04-15 |
| 1255319232 | Shannon Susan Hill | Nurse Practitioner | 1050 Jabarrah Ave, 4th Medical Group, Seymour Johnson A F B, NC 27531-2310 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185348 | Adam Golos | Pharmacist | 2803 Medical, N Campus Dr, Goldsboro, NC 27531 | 2019-10-11 |
| 1346747011 | Rachel Eden Leigh Palmer | Military Health Care Provider | 2803 Medical Campus Dr, Seymour Johnson Afb, NC 27531 | 2018-04-10 |
| 1689108508 | Peri Fouss | Pediatrics | 2803 Medical Campus Drive, Goldsboro, NC 27531 | 2017-04-18 |
| 1700256427 | Karen Schaefer | Psychologist | 1050 Jabara Ave., Goldsboro, NC 27531 | 2015-10-07 |
| 1679059737 | Charles Billig | Physician Assistant | 2803 Medical Campus Dr, Goldsboro, NC 27531 | 2018-07-12 |
| 1710413216 | Michael Everett Ridlehoover | Dentist | 2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531 | 2017-05-04 |
| 1679924344 | Austin Mcjunkins | Surgery | 1050 Jabara Ave, Seymour Johnson A F B, NC 27531 | 2016-06-23 |
| 1033596937 | Christina Marie Pyeatt | Military Health Care Provider | 1050 Jabara Ave, Flight Medicine Clinic, Seymour Johnson Afb, NC 27531 | 2015-04-29 |
| 1790931723 | Joshua S Swantek | Pharmacist | 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531 | 2008-08-11 |
| 1750430435 | Brooke Wenman Heroux | Psychologist | 1050 Jabara Ave, Goldsboro, NC 27531 | 2007-01-10 |
| Find all providers in zip 27531 | ||||
| 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 |
|---|---|---|---|---|
| 1659737419 | Wilson Andrew Harris IIi | Dietitian, Registered | 1050 Jabara Ave, Seymour Johnson A F B, NC 27531-2310 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184947 | Freely Fed | Dietitian, Registered | 1532 Wickerby Ct, Matthews, NC 28105-0322 | 2020-11-04 |
| 1023618774 | Shannon Vasilinda | Dietitian, Registered | 450 Lake Royale, Louisburg, NC 27549-9565 | 2020-10-30 |
| 1154921997 | Lauren Annelise Prigge | Dietitian, Registered | 3636 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-30 |
| 1659971406 | Lauren Rubio-serrano | Dietitian, Registered | 21 Mount Vernon Cir, Asheville, NC 28804-2439 | 2020-10-30 |
| 1336749407 | Doretta Wright | Dietitian, Registered | 110 Highgrove Ct, Aberdeen, NC 28315-2149 | 2020-10-28 |
| 1003414756 | Christy Nell Quirk | Dietitian, Registered | 117 Oldham Pl, Chapel Hill, NC 27516-9004 | 2020-10-14 |
| 1801493291 | Fuel Nc Nutrition | Dietitian, Registered | 1107 Capital Blvd, Raleigh, NC 27603-1113 | 2020-10-08 |
| 1033716436 | Katherine Openshaw | Dietitian, Registered | 521 Walnut Creek Dr, Goldsboro, NC 27534-8997 | 2020-10-08 |
| 1184221665 | Jennifer M Ritchie | Dietitian, Registered | 4306 Kimmeridge Rd, Greensboro, NC 27406-9303 | 2020-10-07 |
| 1659978245 | Jaclyn Lee Atwater | Dietitian, Registered | 415 Yucca Ln, Wilmington, NC 28412-1042 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | SEYMOUR JOHNSON A F B |
| Zip Code | 27531 |
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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.