SUSAN M LISTER (NPI# 1295762425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295762425 |
| Entity Type | Individual |
| Full Name | SUSAN M LISTER |
| Credential | R.D. |
| Practice Address |
One Medical Center Drive Clarksburg WV 26301 |
| Mailing Address |
Rr 2 Box 39e Salem WV 26426-9403 |
| Practice Telephone | 3046233461 |
| Practice Fax Number | 3046267008 |
| Mailing Telephone | 3046233461 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 17 | WV | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851496855 | Susan Renee Lister | Social Worker | 1003 12th St, Juh-rehab Unit, Butner, NC 27509-1626 | 2006-09-14 |
| Street Address |
ONE MEDICAL CENTER DRIVE |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427294503 | Vickie Lynn Grover | Licensed Practical Nurse | One Medical Center Drive, Clarksburg, WV 26301 | 2008-12-19 |
| 1568611416 | Teresa Azzopardi | Pharmacist | One Medical Center Drive, Clarksburg, WV 26301 | 2008-09-16 |
| 1932368529 | Lisa Hardman | Registered Nurse | One Medical Center Drive, Clarksburg, WV 26301 | 2008-06-09 |
| 1346425758 | Jamie Lynn Toothman | Pharmacist | One Medical Center Drive, Clarksburg, WV 26301-4199 | 2008-01-03 |
| 1851487250 | David Allen Hutson | Pharmacist | One Medical Center Drive, Clarksburg, WV 26330 | 2006-10-04 |
| 1982719167 | Jeremy Lee Simms | Dentist | One Medical Center Drive, Clarksburg, WV 26301 | 2006-08-20 |
| 1497789044 | Elena Sang | Internal Medicine | One Medical Center Drive, Clarksburg, WV 26301 | 2006-07-10 |
| 1972535797 | Jeffrey K Riggs | Physician Assistant | One Medical Center Drive, Clarksburg, WV 26301 | 2006-07-06 |
| 1184654832 | Sivaparvati Thagirisa | Family Medicine | One Medical Center Drive, Louis A. Johnson Va Medical Center, Diagnostic Service, Clarksburg, WV 26301 | 2006-07-04 |
| 1083669253 | Doreen Church Maurer | Audiologist | One Medical Center Drive, Clarksburg, WV 26301 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| 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 |
|---|---|---|---|---|
| 1194341354 | Robin M Wong | Dietitian, Registered | 51200 Pumphouse Road, Clarksburg, CA 95612 | 2020-06-23 |
| 1659996726 | Patricia Morgan Haney | Dietitian, Registered | 168 Prado Ln, Clarksburg, MD 20871-6315 | 2020-06-14 |
| 1831635127 | Nutrition On The Go Inc. | Dietitian, Registered | 22841 Glacier Lily Dr, Clarksburg, MD 20871-6331 | 2017-01-11 |
| 1730378118 | Emily Cartwright Poole | Dietitian, Registered | 13011 Clarksburg Square Rd, Clarksburg, MD 20871-4399 | 2007-10-22 |
| 1831126366 | Ronald Raymond Sandreth Jr. | Dietitian, Registered | Louis A. Johnson Vamc, 1 Medical Center Drive, Clarksburg, WV 26301 | 2006-06-28 |
| 1265943856 | Amanda Marie Dent | Dietitian, Registered | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-10-23 |
| 1083998728 | Laura Geanine Holmes | Dietitian, Registered | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2011-09-29 |
| 1447497334 | Cheryl Jo Spagnuolo | Dietitian, Registered | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2009-01-14 |
| 1194962357 | Lisa L Ashcraft-carr | Dietitian, Registered | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2009-01-09 |
| 1487890075 | Alyson Piot | Dietitian, Registered | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2009-01-02 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.