BENJAMIN CLARK HERMANSEN (NPI# 1356878516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356878516 |
| Entity Type | Individual |
| Full Name | BENJAMIN CLARK HERMANSEN |
| Credential | RD |
| Practice Address |
1739 W Sunset Blvd St George UT 84770-7141 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4356346000 |
| Mailing Telephone | (801) 634-6000 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMISSION ON DIETETIC REGISTRATION | 86076257 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1380 E Medical Center Dr, St George, UT 847902123 | 4352511000 | |
| 75 N 2260 W, Hurricane, UT 847372034 | 4356356500 |
| Street Address |
1739 W SUNSET BLVD |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841238987 | Steven J Temple | Internal Medicine | 1739 W Sunset Blvd, St George, UT 84770-7141 | 2006-06-02 |
| 1093146912 | Tawni V Yardley | Nurse Practitioner | 1739 W Sunset Blvd, St George, UT 84770 | 2013-12-02 |
| 1659697555 | Nathan Daniel Nielson | Emergency Medicine | 1739 W Sunset Blvd, St George, UT 84770-7141 | 2010-04-16 |
| 1437358280 | Matthew Stephen Mciff | Family Medicine | 1739 W Sunset Blvd, St George, UT 84770-7141 | 2007-07-12 |
| 1851599336 | Ihc Health Services Inc | Emergency Medicine | 1739 W Sunset Blvd, St George, UT 84770 | 2007-07-06 |
| 1215050166 | Howard W Sepp IIi | Pediatrics | 1739 W Sunset Blvd, St George, UT 84770 | 2007-04-07 |
| 1306864624 | Dennis J Moore | Family Medicine | 1739 W Sunset Blvd, St George, UT 84770-7141 | 2006-07-17 |
| 1144254350 | Brett T Muse | Family Medicine | 1739 W Sunset Blvd, St George, UT 84770-7141 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| 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 |
|---|---|---|---|---|
| 1114437183 | Jana Lyn Foggin | Dietitian, Registered | 1424 E Foremaster Dr Ste 140, St George, UT 84790-5832 | 2017-10-04 |
| 1942510789 | Marilyn Lucille Sorenson | Dietitian, Registered | 652 S Medical Center Dr Lowr Level, St George, UT 84790-7049 | 2010-10-14 |
| 1427680651 | Kimberly Hull | Dietitian, Registered | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-02-05 |
| 1578949053 | Kelly Kline-cunningham | Dietitian, Registered | 320 E 600 S, Intermountain Medical Group, St George, UT 84770-3949 | 2015-08-06 |
| 1023416138 | Sara Fausett | Dietitian, Registered | 230 N 1680 E Bldg N, St George, UT 84790-2579 | 2014-12-06 |
| 1417361155 | Annelies Newman | Dietitian, Registered | 1240 E 100 S Ste 121, St George, UT 84790-3079 | 2014-06-19 |
| 1255599817 | Christie Ann Benton | Dietitian, Registered | 544 S 400 E, Clinical Nutrition, St George, UT 84770-3705 | 2008-05-29 |
| 1952528242 | Tianne Lamb | Dietitian, Registered | 352 E Riverside Dr, A9, St George, UT 84790-6758 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181943 | Rachel Fantine Chaffetz | Dietitian, Registered | 2984 N Hill Field Rd Ste A1-a, Layton, UT 84041-1306 | 2020-10-11 |
| 1295342426 | Claire Pomorski | Dietitian, Registered | 996 S 200 E Apt 108, Salt Lake City, UT 84111-4253 | 2020-10-01 |
| 1558978973 | Food for Hart, LLC | Dietitian, Registered | 886 S Warm Springs Cir, Kaysville, UT 84037-3728 | 2020-09-29 |
| 1366058406 | Natalie Gundersen | Dietitian, Registered | 1036 Oldham Dr, North Salt Lake, UT 84054-6009 | 2020-09-22 |
| 1144835513 | Bethany H Tait | Dietitian, Registered | 482 S 810 W Apt 107, Pleasant Grove, UT 84062-2378 | 2020-09-13 |
| 1003421520 | Lauran Saunders | Dietitian, Registered | 4667 S Highway 66, Morgan, UT 84050-9573 | 2020-09-11 |
| 1518570118 | Stephanie P Bergen | Dietitian, Registered | 1132 E Bryan Ave Apt A, Salt Lake City, UT 84105-2508 | 2020-08-25 |
| 1659981678 | Kirsten Tara Marquis Reichner | Dietitian, Registered | 322 E 680 N, Lindon, UT 84042-1417 | 2020-08-04 |
| 1689283574 | Kassandra Brandley | Dietitian, Registered | 2485 N 450 W, Harrisville, UT 84414-7209 | 2020-07-27 |
| 1578172581 | Keshele Elizabeth Stevens | Dietitian, Registered | 461 S Stirling Dr, Fruit Heights, UT 84037-2325 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.