KOMAL J PATEL (NPI# 1407417181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407417181 |
| Entity Type | Individual |
| Full Name | KOMAL J PATEL |
| Credential | RD |
| Practice Address |
1800 E Lake Shore Dr Decatur IL 62521-3810 |
| Mailing Address |
456 Tyrone Dr Forsyth IL 62535-1069 |
| Practice Telephone | 4849052280 |
| Mailing Telephone | 4849052280 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164006047 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483765 | Komal Patel | Physical Therapist | 24 Rovna Ct, Monroe, NY 10950-7483 | 2020-10-02 |
| 1265063549 | Komal P Patel | Student in an Organized Health Care Education/Training Program | 628 Joppa Rd, Leander, TX 78641-8402 | 2020-01-27 |
| 1205473337 | Komal Chinmay Patel | Pharmacist | 1320 Kendra Ln, Upland, CA 91784-9270 | 2019-12-09 |
| 1164077327 | Komal Patel | Dentist | 6033 De Zavala Rd Apt 1425, San Antonio, TX 78249-2255 | 2019-08-05 |
| 1891282000 | Komal M Patel | Student in an Organized Health Care Education/Training Program | 31 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2018-04-13 |
| 1508272535 | Komal G. Patel | Physical Medicine & Rehabilitation | 2150 Pennsylvania Ave Nw Fl 7, Washington, DC 20037-3201 | 2014-07-10 |
| 1366860306 | Komal Patel | Pharmacist | 1533 Parker Canyon Rd, Walnut, CA 91789-5334 | 2014-04-06 |
| 1699046508 | Komal A Patel | Physical Therapist | 1013 Rosa Ave, Sunnyvale, CA 94086-8749 | 2012-01-24 |
| 1396052882 | Komal H. Patel | Pharmacist | 5 Wister Pl, Matawan, NJ 07747-1824 | 2010-09-07 |
| 1578879839 | Komal Manilal Patel | Optometrist | 3709 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2010-08-25 |
| Street Address |
1800 E LAKE SHORE DR |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041229 | St Marys Hospital Sisters of The Third Order of St Francis | General Acute Care Hospital | 1800 E Lake Shore Dr, Decatur, IL 62521 | 2005-05-24 |
| 1093349912 | Nicholas Halford | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2020-02-29 |
| 1295368207 | Amanda Durbin | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2020-02-18 |
| 1194362392 | Cassie Briggs | Nurse Practitioner | 1800 E Lake Shore Dr, Decatur, IL 62521-3883 | 2019-12-06 |
| 1093351413 | Megan Leech | Advanced Practice Midwife | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-11-20 |
| 1992355812 | Gideon Nkrumah | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3883 | 2019-09-12 |
| 1760940712 | Emily Ann Foster | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-03-08 |
| 1477010874 | Jennifer Diann Pieper | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-02-22 |
| 1760955298 | Hailey Michelle Williams | Dietitian, Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-01-08 |
| 1912479247 | Jamie Marie Queary | Nurse Practitioner | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2018-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| 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 |
|---|---|---|---|---|
| 1588281018 | Annie Laine Parks | Dietitian, Registered | 805 N Trinity St, Decatur, TX 76234-1146 | 2020-06-30 |
| 1336768167 | Sylvia P Poulos | Dietitian, Registered | 1989 Wilandrew Dr, Decatur, GA 30033-1917 | 2020-04-12 |
| 1811478472 | Holley Nash | Dietitian, Registered | 1201 Clairmont Rd Ste 110, Decatur, GA 30030-1258 | 2018-08-22 |
| 1124538129 | Anna Leigh Blevens | Dietitian, Registered | 115 N Mcdonough St Ste A, Decatur, GA 30030-3354 | 2017-10-04 |
| 1497293955 | Rachel Anne Mcbride | Dietitian, Registered | 81 Pennsylvania Dr, Decatur, IL 62526-2349 | 2017-02-05 |
| 1235584111 | Christi Hansen | Dietitian, Registered | 253 Forkner Dr, Decatur, GA 30030-1612 | 2016-04-28 |
| 1639537822 | Moira Faris | Dietitian, Registered | 292 W Parkwood Rd, Decatur, GA 30030-2821 | 2016-02-03 |
| 1326479262 | Lori Ann Scholle | Dietitian, Registered | 615 Ponce De Leon Pl, Decatur, GA 30030-5108 | 2013-12-03 |
| 1851695126 | Vera Green | Dietitian, Registered | 2320 N Eiffel Ct, Decatur, GA 30032-5633 | 2010-12-30 |
| 1427375286 | Kimberly Ann Donohue | Dietitian, Registered | 1874 Beltine Rd, Decatur, AL 35601 | 2010-05-03 |
| Find all providers in DECATUR | ||||
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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.