MS. KATHERINE DANIELLE CALHOUN (NPI# 1417106493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417106493 |
| Entity Type | Individual |
| Full Name | MS. KATHERINE DANIELLE CALHOUN |
| Credential | RD, LD |
| Practice Address |
1013 Bridges Ave East Wynne AR 72396 |
| Mailing Address |
1013 Bridges Ave E Wynne AR 72396 |
| Practice Telephone | 8705885291 |
| Practice Fax Number | 8666952818 |
| Mailing Telephone | 8705885291 |
| Mailing Fax Number | 8666952818 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1013 | AR | Dietary & Nutritional Service Providers |
| Street Address |
1013 BRIDGES AVE EAST |
| City | WYNNE |
| State | AR |
| Zip Code | 72396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| 1912012337 | Southern Care Inc | Ambulance | 669 N Falls Blv, Wynne, AR 72396 | 2006-08-19 |
| Find all providers in zip 72396 | ||||
| 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 |
|---|---|---|---|---|
| 1063646867 | Jolene Kay Caldwell | Dietitian, Registered | 2005 Airpark Rd, Wynne, AR 72396-1806 | 2009-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1639776883 | Gail Lange-smith | Dietitian, Registered | 805 Beechwood St Apt 3, Little Rock, AR 72205-1974 | 2020-10-01 |
| 1760099238 | Emily Keeling | Dietitian, Registered | 1238 N Vista Pl, Fayetteville, AR 72703-1352 | 2020-09-28 |
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1568076792 | Sarah Keathley | Dietitian, Registered | 30 Sugar Creek Rd, North Little Rock, AR 72116-6332 | 2020-09-04 |
| 1003427873 | Midsouth Transitions Arkansas Pa | Dietitian, Registered | 6010 Trinity Hts, Texarkana, AR 71854-8318 | 2020-08-13 |
| 1386267748 | Allison Kreimeier | Dietitian, Registered | 8713 Melkovitz Rd, Hazen, AR 72064-9585 | 2020-05-20 |
| 1427679075 | Christina Kilton | Dietitian, Registered | 13400 Abinger Dr, Little Rock, AR 72212-3704 | 2020-05-05 |
| 1801417696 | Sarah Elizabeth Johnston | Dietitian, Registered | 306 Kimsey Loop, Malvern, AR 72104-8678 | 2020-05-03 |
| 1407476245 | Brooke Ann Erickson | Dietitian, Registered | 3719 Lakeshore Dr, North Little Rock, AR 72116-9032 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. KATHERINE DANIELLE CALHOUN.
| 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.