MRS. STEPHANIE BROCK NUNNERY (NPI# 1306928452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306928452 |
Entity Type | Individual |
Full Name | MRS. STEPHANIE BROCK NUNNERY |
Credential | RD, LD |
Practice Address |
209 N Cuthbert St Colquitt GA 39837-3518 |
Mailing Address |
1121 Juree Ln Donalsonville GA 39845-7232 |
Practice Telephone | 2297584307 |
Mailing Telephone | 2297584307 |
Mailing Fax Number | 2297586346 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | LD002882 | GA | Dietary & Nutritional Service Providers |
Street Address |
209 N CUTHBERT ST |
City | COLQUITT |
State | GA |
Zip Code | 39837-3518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063401628 | Oneil Culver | Surgery | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2005-10-17 |
1790108736 | Amy Askew Sanderson | Registered Nurse | 209 N Cuthbert St, Colquitt, GA 39837 | 2014-01-28 |
1497018840 | Stephanie Davis Phillips | Nurse Practitioner | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2012-06-20 |
1952601296 | Tabitha G Sharber-brock | Physical Therapist | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2010-11-02 |
1396045431 | The Hospital Authority of Miller County | Pharmacy | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2010-10-22 |
1558560243 | Sharon M Lowery | Nurse Practitioner | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2007-07-13 |
1710105119 | The Hospital Authority of Miller County | General Acute Care Hospital | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2007-04-23 |
1861555609 | Edgar Lowell Justice | Family Medicine | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2006-12-19 |
1285794750 | The Hospital Authority of Miller County | General Acute Care Hospital | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2006-12-12 |
1114085297 | The Hospital Authority of Miller County | General Acute Care Hospital | 209 N Cuthbert St, Colquitt, GA 39837-0007 | 2006-12-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
1679069231 | Vashawn Renee Mosley | Nurse Practitioner | Hospital Authority of Miller County, Miller County Hospital, 209 N. Cuthbert Street, Colquitt, GA 39837 | 2018-07-07 |
1427572361 | Brittany N. Harrison | Physical Therapist | 514 E. Crawford St., Colquitt, GA 39837 | 2017-08-02 |
1629417134 | Trevor Lee Butner | Family Medicine | Miller County Medical Center, 208 N. Cuthbert Street, Colquitt, GA 39837 | 2013-06-18 |
1942514609 | Mac Bradley Davis | Nurse Anesthetist, Certified Registered | 209 North Cuthbert Street, Colquitt, GA 39837 | 2010-08-04 |
1730410341 | Loving Care Personal Care Home | Assisted Living Facility | 168 East Crawford St, Colquitt, GA 39837 | 2010-01-21 |
1528110103 | The Hospital Authority of Miller County | Clinic/Center | 208 North Cuthbert St, Colquitt, GA 39837 | 2007-01-17 |
1780293035 | The Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-23 |
1508372863 | Megan Odom Battles | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837 | 2017-12-22 |
1063505550 | Donna L Mccann | Family Medicine | 210 W Main St, Ste 4, Colquitt, GA 39837 | 2006-10-02 |
Find all providers in zip 39837 |
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 |
---|---|---|---|---|
1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
1033717830 | Ariathni Pinacas Powell | Dietitian, Registered | 5761 Hancock Dr, Social Circle, GA 30025-4705 | 2020-10-14 |
1467050716 | Louise Brown | Dietitian, Registered | 4075 Cherry Grove Rd, Ball Ground, GA 30107-3295 | 2020-10-09 |
1154928513 | Alicia Adams Polk | Dietitian, Registered | 360 Southgate Dr, Locust Grove, GA 30248-4235 | 2020-10-07 |
1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
1881291532 | Noelle Yaeger Oleary | Dietitian, Registered | 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 | 2020-10-06 |
1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
1356948293 | Brittany Mitchell Moment | Dietitian, Registered | 2913 Allie Rd, Greenville, GA 30222-2337 | 2020-10-05 |
1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
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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.