LINDA DEVEREUX (NPI# 1396175519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396175519 |
| Entity Type | Individual |
| Full Name | LINDA DEVEREUX |
| Credential | R.D. |
| Practice Address |
1775 Thompson Rd Coos Bay OR 97420-2125 |
| Practice Telephone | 5412698321 |
| Mailing Telephone | 5412698321 |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-D-10159767 | OR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720187206 | Linda Devereux | Internal Medicine | 3 Cooper Plz, Suite 211, Camden, NJ 08103-1438 | 2006-09-21 |
| Street Address |
1775 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494757 | Bradley G Titus | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2005-08-17 |
| 1952870230 | Cari Fraley | Clinic/Center | 1775 Thompson Rd, Rehabiliation Department, Coos Bay, OR 97420 | 2018-11-16 |
| 1225511322 | Kylie Webb Tresher Winquist | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-09-13 |
| 1396242863 | Ezgi Ertemin-pearson | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2198 | 2018-04-10 |
| 1710480397 | Coos Radiosurgery Group LLC | Radiology | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-03-09 |
| 1760982474 | Kellene A Fisler | Nurse Practitioner | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-02-19 |
| 1194247577 | Tara Sprague | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420 | 2017-07-07 |
| 1639626724 | Nicole Fennell | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2016-09-06 |
| 1063893402 | Cep America LLC | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2015-06-11 |
| 1770996589 | Anushi Bulumulle | Student in an Organized Health Care Education/Training Program | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| 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 |
|---|---|---|---|---|
| 1194258699 | Andrew Winquist | Dietitian, Registered | 1455 Laurel Ave, Coos Bay, OR 97420-2167 | 2017-04-11 |
| 1104199116 | Compass Nutrition, LLC | Dietitian, Registered | 1290 Fenwick Avenue, Coos Bay, OR 97420 | 2012-02-22 |
| 1851482467 | Janice Lorene Gonzales | Dietitian, Registered | 1775 Thompson Road, Coos Bay, WA 97420 | 2006-09-27 |
| 1396242863 | Ezgi Ertemin-pearson | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2198 | 2018-04-10 |
| 1194247577 | Tara Sprague | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420 | 2017-07-07 |
| 1578819520 | Josephine Dela Cruz Torresani | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2012-07-27 |
| 1083842975 | Susan Garcia | Dietitian, Registered | 1775 Thompson Rd, Bay Area Hospital, Coos Bay, OR 97420 | 2009-06-30 |
| 1265623433 | Mary Ann Woods | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-08-05 |
| 1144311754 | Julie Ann Cummings | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420 | 2006-09-27 |
| 1871684480 | Martha Anne Biersner | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420 | 2006-09-27 |
| Find all providers in COOS BAY | ||||
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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.