MRS. SERICCA LYNN WALTERS (NPI# 1356985287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356985287 |
| Entity Type | Individual |
| Full Name | MRS. SERICCA LYNN WALTERS |
| Credential | RD LD |
| Practice Address |
1 E Clark Bass Blvd Mcalester OK 74501-4209 |
| Practice Telephone | 9184216931 |
| Mailing Telephone | 9184216931 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2476 | OK | Dietary & Nutritional Service Providers |
| Street Address |
1 E CLARK BASS BLVD |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940034 | Mcalester Regional Health Center Authority | General Acute Care Hospital | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2005-05-27 |
| 1710598107 | Jon-andrew Martin | Physical Therapist | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2020-08-11 |
| 1255958286 | Jennifer Leigh Hastings | Nurse Practitioner | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2020-06-25 |
| 1841842184 | Brooks Smallwood | Student in an Organized Health Care Education/Training Program | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-07-16 |
| 1326509407 | Premier Physician Staffing 2 Pllc | Emergency Medicine | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-03-29 |
| 1083171367 | Mitchell Steckbeck | Student in an Organized Health Care Education/Training Program | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-02-22 |
| 1093279630 | Emily Elizabeth Ogden | Registered Nurse | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-01-28 |
| 1427523109 | Prime Physician Staffing 2 Pllc | Hospitalist | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2018-10-09 |
| 1033632708 | Kaitlin Vaughn | Nurse Practitioner | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2017-07-24 |
| 1558898866 | Kelsey Marie Flynn | Family Medicine | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| 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 |
|---|---|---|---|---|
| 1730447442 | Brian Cole Musgrove | Dietitian, Registered | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2012-05-01 |
| 1245473032 | Raina Ann Sparks | Dietitian, Registered | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2009-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506411 | Candance Elaine Gabel | Dietitian, Registered | 220 S 2nd Ct, Stillwater, OK 74074-6732 | 2020-10-26 |
| 1326646852 | Lori Mathews | Dietitian, Registered | 2821 36th Ave Nw Ste 150, Norman, OK 73072-2472 | 2020-10-16 |
| 1437756947 | Malorie Scherf | Dietitian, Registered | 8751 N 97th East Ave Apt 917, Owasso, OK 74055-6887 | 2020-10-07 |
| 1154928216 | Shaina Sara Yohannan | Dietitian, Registered | 9028 Nw 84th St, Yukon, OK 73099-8677 | 2020-10-01 |
| 1598370066 | Laci N Patterson | Dietitian, Registered | 9401 Prosper Dr, Oklahoma City, OK 73151-8811 | 2020-09-11 |
| 1619586534 | Amanda Kate Tucker | Dietitian, Registered | 312 12th Ave Ne, Norman, OK 73071-5238 | 2020-07-27 |
| 1154939452 | Cornerstone Nutrition & Diabetes, Pllc | Dietitian, Registered | 2500 Boardwalk Ste 220, Norman, OK 73069-6593 | 2020-07-22 |
| 1558989335 | Angelica Martinez De Loera | Dietitian, Registered | 7761 Alameda St, Norman, OK 73026-3738 | 2020-07-08 |
| 1326665548 | Olivia Jean Trout | Dietitian, Registered | 4311 Se 57th St, Oklahoma City, OK 73135-3308 | 2020-07-03 |
| 1447875471 | Nicholas A Koemel | Dietitian, Registered | 3724 W 32nd Ave, Stillwater, OK 74074-1724 | 2020-06-16 |
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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.