AMY TILLOTSON (NPI# 1346692647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346692647 |
| Entity Type | Individual |
| Full Name | AMY TILLOTSON |
| Credential | RD, LD |
| Practice Address |
929 Highway D Osage Beach MO 65065-3169 |
| Practice Telephone | 3093693803 |
| Mailing Telephone | 3093693803 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2015031163 | MO | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902166820 | Amy Tillotson | Social Worker | 2366 Union Ave, Alamogordo, NM 88310-3848 | 2012-05-24 |
| Street Address |
929 HIGHWAY D |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 65065-3169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043248115 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 929 Highway D, Osage Beach, MO 65065-3169 | 2006-06-29 |
| 1891393070 | Lucas Oborny | Pharmacist | 929 Highway D, Osage Beach, MO 65065-3169 | 2020-10-11 |
| 1669805024 | Jodi Marie Weeber | Dietitian, Registered | 929 Highway D, Osage Beach, MO 65065-3169 | 2013-08-20 |
| 1104266808 | Christopher John Boillot | Pharmacy Technician | 929 Highway D, Osage Beach, MO 65065-3169 | 2013-06-27 |
| 1578903308 | Walter William Valentine | Pharmacist | 929 Highway D, Osage Beach, MO 65065-3169 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778859 | Suzanne Marie Harris | Social Worker | 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 | 2020-04-15 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1245723337 | William T Mcfail | Counselor | 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 | 2018-06-13 |
| 1588102263 | Jennifer Kiske | Physical Therapist | 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 | 2017-02-02 |
| 1700207586 | Brenda Renee Spies | Pharmacist | 4252 Osage Beach Parkway, Osage Beach, MO 65065 | 2013-12-23 |
| 1154668465 | Paige Hedgpath Od, PC | Optometrist | 4645g Osage Beach Parkway, Osage Beach, MO 65065 | 2013-01-07 |
| 1649548330 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Kestrel Lane, Lake Ozark, MO 65065 | 2011-12-08 |
| 1437399821 | Melissa Nicole Morgan | Physical Therapy Assistant | 5177 Vicus Castri, Osage Beach, MO 65065 | 2009-02-25 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1457514259 | Lake Family Dentistry | Dentist | 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 | 2008-07-02 |
| Find all providers in zip 65065 | ||||
| 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 |
|---|---|---|---|---|
| 1932503604 | Kasi Jamel Dibello | Dietitian, Registered | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2014-10-09 |
| 1669805024 | Jodi Marie Weeber | Dietitian, Registered | 929 Highway D, Osage Beach, MO 65065-3169 | 2013-08-20 |
| 1508114331 | Jordan Alaine Teeple | Dietitian, Registered | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2012-08-28 |
| 1588910590 | Anita Laraine Marlay | Dietitian, Registered | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2012-07-27 |
| 1043451859 | Emily Diane Mertensmeyer | Dietitian, Registered | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2009-03-09 |
| 1245475235 | Kathleen Ann Champion | Dietitian, Registered | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2008-12-05 |
| 1053581454 | Lake Regional Health System | Dietitian, Registered | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2008-03-03 |
| 1598801870 | Lois B Kramer-owens | Dietitian, Registered | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2007-01-30 |
| 1023154317 | Cathy A Spetek | Dietitian, Registered | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2007-01-30 |
| 1548306657 | Norma J Botdorf | Dietitian, Registered | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2007-01-29 |
| Find all providers in OSAGE BEACH | ||||
| City | OSAGE BEACH |
| Zip Code | 65065 |
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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.