MS. SHELBY LYNN DEDERICK (NPI# 1346558616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346558616 |
Entity Type | Individual |
Full Name | MS. SHELBY LYNN DEDERICK |
Credential | RD/LD |
Practice Address |
4304 E 52nd Pl Tulsa OK 74135-3915 |
Practice Telephone | 7855542497 |
Mailing Telephone | 7855542497 |
Enumeration Date | 2010-09-20 |
Last Update Date | 2010-09-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 1533 | OK | Dietary & Nutritional Service Providers |
Street Address |
4304 E 52ND PL |
City | TULSA |
State | OK |
Zip Code | 74135-3915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
Find all providers in zip 74135 |
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 |
---|---|---|---|---|
1619528189 | Haley Billings | Dietitian, Registered | 1816 S Carson Ave Apt 223, Tulsa, OK 74119-5030 | 2019-09-25 |
1811498058 | Sydney Elyse Cavero-egusquiza | Dietitian, Registered | 4815 S Harvard Ave Ste 253, Tulsa, OK 74135-3066 | 2018-02-22 |
1407363773 | Aubrey Kayee Golbek | Dietitian, Registered | 1712 E 14th St, Tulsa, OK 74104-4434 | 2018-01-08 |
1528573862 | Tawnie Goodwin | Dietitian, Registered | 1717 S Utica Ave Ste 205, Tulsa, OK 74104-5345 | 2017-12-08 |
1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
1699298927 | Paris Delani Doty | Dietitian, Registered | 1819 E 19th St Ste 301, Tulsa, OK 74104-5407 | 2017-07-19 |
1528506839 | Ronda Bender | Dietitian, Registered | 6839 E 105th St, Tulsa, OK 74133-6758 | 2017-02-07 |
1467813428 | Amy Joyce Burden | Dietitian, Registered | 3530 E 21st Pl, Tulsa, OK 74114-1969 | 2016-03-17 |
1861867434 | Emily J Lawrance | Dietitian, Registered | 2000 S Wheeling Ave Ste 920, Tulsa, OK 74104 | 2015-12-08 |
1336539709 | Miranda Brown | Dietitian, Registered | 2517 S Harvard Pl # 17d, Tulsa, OK 74114-4638 | 2015-01-23 |
Find all providers in TULSA |
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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.