MISS TRACY L MCCULLOUGH-WILLS (NPI# 1386962983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386962983 |
| Entity Type | Individual |
| Full Name | MISS TRACY L MCCULLOUGH-WILLS |
| Credential | RD |
| Practice Address |
1339 Ellis Mill Rd Mullica Hill NJ 08062-4431 |
| Practice Telephone | 6097608950 |
| Practice Fax Number | 8564173432 |
| Mailing Telephone | 6097608950 |
| Mailing Fax Number | 8564173432 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 804997 | PA | Dietary & Nutritional Service Providers |
| Street Address |
1339 ELLIS MILL RD |
| City | MULLICA HILL |
| State | NJ |
| Zip Code | 08062-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881254308 | Kaplan & Tyson, LLC Dba Eye Associates | Durable Medical Equipment & Medical Supplies | 5 Myers Drive, Suite 101, Mullica Hill, NJ 08062 | 2019-06-17 |
| 1588165526 | Mullica Hill Family Dental, LLC | Dentist | 7 Myers Drive Unit A, Mullica Hill, NJ 08062 | 2018-02-26 |
| 1639689102 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 Iredell Lane, Mullica Hill, NJ 08062 | 2017-10-10 |
| 1639697782 | Kingsway Recovery LLC | Counselor | 124 Bridgeton Pike, Mullica Hill, NJ 08062 | 2017-09-08 |
| 1568998912 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 484 Fislerville Rd (richwood), Mullica Hill, NJ 08062 | 2017-05-04 |
| 1114381399 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 444 Fislerville Rd, South Harrison Twp, NJ 08062 | 2016-04-13 |
| 1053687574 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 524 Mullica Hill Rd, Harrison Township, NJ 08062 | 2012-03-29 |
| 1134491590 | South Jersey Healthcare | Clinic/Center | 210 Tomlin Station Road, Mullica Hill, NJ 08062 | 2012-02-01 |
| 1144592502 | South Jersey Healthcare | Clinic/Center | 201 Tomlin Station Park Suite D, Mullica Hill, NJ 08062 | 2012-02-01 |
| 1760764898 | Inspira Medical Centers, Inc. | Clinic/Center | 201 Tomlin Station Road, Suite A, Mullica Hill, NJ 08062 | 2011-09-14 |
| Find all providers in zip 08062 | ||||
| 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 |
|---|---|---|---|---|
| 1932460128 | Sherry Valente | Dietitian, Registered | 216 Marvin Ln, Mullica Hill, NJ 08062-4547 | 2012-06-04 |
| 1821614843 | Nora Tramontina | Dietitian, Registered | 134 Bridgeton Pike, Mullica Hill, NJ 08062-2616 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245603 | Eleanor Meyers | Dietitian, Registered | 14 Stoney Hill Road, Brookside, NJ 07926 | 2020-11-03 |
| 1083215677 | Dvora Spektor | Dietitian, Registered | 411 Main Ave # 1, Clifton, NJ 07014-1387 | 2020-11-02 |
| 1518567205 | Lauren Hayley Miller | Dietitian, Registered | 1 Truman Ct, Robbinsville, NJ 08691-3089 | 2020-10-30 |
| 1740880830 | Amanda M Quille | Dietitian, Registered | 301 Privateer Rd, Manahawkin, NJ 08050-1701 | 2020-10-28 |
| 1992304117 | Amy Marie Morel L'horset | Dietitian, Registered | 191 Christopher St, Montclair, NJ 07042-4205 | 2020-10-19 |
| 1730787318 | Kevin Rescigno | Dietitian, Registered | 71 Alexandra Way, Cape May Court House, NJ 08210-1152 | 2020-10-15 |
| 1053919704 | Tiffany Geoffroy | Dietitian, Registered | 39 Orchard St, Nutley, NJ 07110-2619 | 2020-10-14 |
| 1770181737 | Stephanie Marie Kile | Dietitian, Registered | 1815 Plainfield Ave, South Plainfield, NJ 07080-3051 | 2020-10-13 |
| 1790382133 | Kathleen Marie Lumia | Dietitian, Registered | 91 Beechwood Cir, Hillsborough, NJ 08844-1133 | 2020-10-08 |
| 1447857891 | Deborah Adler | Dietitian, Registered | 122 Terrace Dr, Chatham, NJ 07928-5000 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | MULLICA HILL |
| Zip Code | 08062 |
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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.