CHERRY CITY NUTRITION (NPI# 1366922734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366922734 |
| Entity Type | Organization |
| Organization Name | CHERRY CITY NUTRITION |
| Practice Address |
780 Commercial St Se Ste 305 Salem OR 97301-3455 |
| Mailing Address |
5113 Cherry Hollow Ln S Salem OR 97302-9634 |
| Practice Telephone | 9712738668 |
| Mailing Telephone | 9712738668 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | JESSICA ELIZABETH SHORT (SOLE PROPRIETOR) |
| Authorized Official Telephone | 9712738668 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-D-10144657 | OR | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMISSION ON DIETETIC REGISTRATION | 962738 | 01 | |
| OR | STATE OF OREGON | LD-D-10144657 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CHERRY CITY NUTRITION, LLC | 4305 River Rd N, Keizer, OR 97303 |
| Street Address |
780 COMMERCIAL ST SE STE 305 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285895375 | Jessica E. Short | Dietitian, Registered | 780 Commercial St Se Ste 305, Salem, OR 97301 | 2008-06-20 |
| 1912487349 | New Leaf Family Nutrition, LLC | Dietitian, Registered | 780 Commercial St Se Ste 305, Salem, OR 97301-3455 | 2018-08-15 |
| 1457889057 | Whitney Lundy | Dietitian, Registered | 780 Commercial St Se Ste 305, Salem, OR 97301 | 2017-05-25 |
| 1205274875 | Sarah Elizabeth Hansen | Counselor | 780 Commercial St Se Ste 305, Salem, OR 97301-3455 | 2013-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| 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 |
|---|---|---|---|---|
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1730716069 | Bethany Frieler | Dietitian, Registered | 266 Missouri Ave S, Salem, OR 97302-4564 | 2020-03-25 |
| 1952865941 | Erica Lee Klag | Dietitian, Registered | 1 Oakland St, Salem, MA 01970-1520 | 2019-01-24 |
| 1306399761 | Michelle Garcia | Dietitian, Registered | 3886 Beverly Ave Ne Ste 6, Salem, OR 97305-1373 | 2016-08-02 |
| 1518321389 | Grace Wilburn | Dietitian, Registered | 306 Front Ave, Salem, VA 24153-6233 | 2016-04-07 |
| 1376925719 | Premier Endocrinology Associates, LLC | Dietitian, Registered | 960 Liberty Street Se Suite 170, Salem, OR 97302 | 2015-06-22 |
| 1558772319 | Shannon Woodward D'aquila Haynes | Dietitian, Registered | 354 Darling Rd, Salem, CT 06420-3913 | 2014-05-14 |
| 1508284472 | Katherine Spann | Dietitian, Registered | 890 Oak St Se Bldg D, Salem, OR 97301-3905 | 2014-03-28 |
| 1194140970 | Barbara E. Rougier | Dietitian, Registered | 3r Oak View Ave, Salem, MA 01970-4315 | 2014-03-03 |
| 1881019784 | Jennifer E Jasmin | Dietitian, Registered | 46 Northey St, Salem, MA 01970-3905 | 2014-02-28 |
| Find all providers in SALEM | ||||
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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.