KACEY ELIZABETH CONYERS (NPI# 1356758189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356758189 |
| Entity Type | Individual |
| Full Name | KACEY ELIZABETH CONYERS |
| Credential | MS, RD, LD |
| Practice Address |
1270 Kotnum Rd Warm Springs OR 97761 |
| Practice Telephone | 5415531196 |
| Practice Fax Number | 5415532457 |
| Mailing Fax Number | 5415532457 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-D-10163387 | OR | Dietary & Nutritional Service Providers |
| Street Address |
1270 KOTNUM RD |
| City | WARM SPRINGS |
| State | OR |
| Zip Code | 97761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1962932954 | Brenda Lu Howe | Registered Nurse | 1270 Kotnum Rd, Warm Springs, OR 97761-3001 | 2017-06-13 |
| 1902933443 | Warm Springs Health and Wellness Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2007-02-28 |
| 1245313089 | Katherine Julene Russell | Registered Nurse | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891850749 | Frank A Mendoza | Dentist | Warm Springs Indian Health Service Dental Clinic, 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-12-22 |
| 1477596112 | Eric Bradford | Physical Therapist | 1270 Kotnum Rd., Warm Springs, OR 97761 | 2006-06-13 |
| 1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
| 1982690954 | Hai Tuan Tran | Podiatrist | 1270 Kot-num, Warm Springs, OR 97761 | 2005-09-23 |
| 1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1508863317 | Mitzie Althea Allen | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761 | 2005-07-07 |
| 1952303273 | Stephen Miles Rudd | Family Medicine | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2005-06-01 |
| 1184239956 | Brian Daniel Wojahn | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-09-09 |
| 1639789266 | Kasem Darwish El-hajji | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-08-07 |
| 1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
| Find all providers in zip 97761 | ||||
| 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 |
|---|---|---|---|---|
| 1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
| 1891235396 | Christine Meier | Dietitian, Registered | Po Box C, 1270 Kot-num Road, Warm Springs, OR 97761-3001 | 2017-03-02 |
| 1245417880 | Tracey L Hampton | Dietitian, Registered | 1270 Kot-num Road, Warm Springs, OR 97761 | 2008-01-25 |
| 1003027418 | Diane Marie Franklin | Dietitian, Registered | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2007-05-25 |
| 1518085257 | Sara Lee Thomas | Dietitian, Registered | 1270 Kot-num Road, Warm Springs, OR 97761 | 2007-03-27 |
| 1548319031 | Natalie Mcbride | Dietitian, Registered | 1270 Kot-num Road, Warm Springs, OR 97761 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902751 | Elise Michelle Edward | Dietitian, Registered | 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 | 2020-11-06 |
| 1386245256 | Aloura Linfesty | Dietitian, Registered | 12944 Sw Sara Dr, Gaston, OR 97119-8580 | 2020-11-05 |
| 1699375394 | Ashlyn Hiserote | Dietitian, Registered | 7063 Se Horntail Ln, Hillsboro, OR 97123-2244 | 2020-10-30 |
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1700484805 | Christine Charlotte Madzik | Dietitian, Registered | 655 E 43rd Ave, Eugene, OR 97405-3928 | 2020-10-12 |
| 1578160784 | Kristen Bowman | Dietitian, Registered | 749 Rabbit Run St, Stayton, OR 97383-1697 | 2020-10-01 |
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1396350229 | Chelsea Elizabeth Horvath | Dietitian, Registered | 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080-5276 | 2020-09-08 |
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1275147670 | Karina Ann Inouye | Dietitian, Registered | 13804 Sw Anna Ct, Tigard, OR 97223-2114 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | WARM SPRINGS |
| Zip Code | 97761 |
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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.