MISS JENNIFER ANN SPORE (NPI# 1467774158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467774158 |
| Entity Type | Individual |
| Full Name | MISS JENNIFER ANN SPORE |
| Credential | R.D. |
| Practice Address |
624 Hospital Dr Mountain Home AR 72653-2955 |
| Practice Telephone | 8704241424 |
| Practice Fax Number | 8704241355 |
| Mailing Telephone | 8704241425 |
| Mailing Fax Number | 8704241355 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1145 | AR | Dietary & Nutritional Service Providers |
| Street Address |
624 HOSPITAL DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296900 | Michael L Recktenwald | Pharmacist | 624 Hospital Dr, Employee Pharmacy Department, Mountain Home, AR 72653-2955 | 2005-09-26 |
| 1790308146 | Christopher Justin Robinson | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-20 |
| 1164044665 | Jeffrey Dupre Jr. | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-07 |
| 1851924765 | Jordan Frey Eldridge | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-19 |
| 1588296586 | Amanda M Horne | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-07 |
| 1962976472 | Baxter County Regional Hospital, Inc | General Acute Care Hospital | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2019-01-17 |
| 1184127292 | Meagan Thitoff | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-03-15 |
| 1972002020 | Sarah Marie Eaton | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-02-05 |
| 1508364449 | Lacey Hlass | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-25 |
| 1881102192 | Elizabeth Ann Smithhart | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1376728188 | Anna Marie Rodriguez | Dietitian, Registered | 159 Nw Rough Creek Rd, Mountain Home, TX 78058-0105 | 2007-12-31 |
| 1912920042 | Donna Marie Emmert | Dietitian, Registered | Lamont and Sydney Street, Mountain Home, TN 37684-4000 | 2006-07-26 |
| 1699733345 | Sandra Kaye Gilbert | Dietitian, Registered | Sidney/lamont St, Nutrition and Food Service (120), Mountain Home, TN 37684 | 2006-05-03 |
| 1689632465 | Laurie A Malyar | Dietitian, Registered | James H. Quillen Vamc, Nutrition and Food Services 120, Mountain Home, TN 37684 | 2006-05-02 |
| 1801852462 | Sandra S Arner | Dietitian, Registered | First Street, Mountain Home, TN 37684-4000 | 2006-04-24 |
| 1962467928 | Mavis J Onks | Dietitian, Registered | First Street Bld 200 Box 4000, James H Quillen Vamc(120b), Mountain Home, TN 37684-4000 | 2006-04-20 |
| 1306497060 | Austen Davis Kemper | Dietitian, Registered | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2019-09-24 |
| 1417442120 | Mountain Home Nutrition Services LLC | Dietitian, Registered | 285 E 4th N, Mountain Home, ID 83647 | 2018-06-25 |
| 1558861831 | Laura Jean Moulton | Dietitian, Registered | 285 E 4th N, Mountain Home, ID 83647-2716 | 2018-02-13 |
| 1336525534 | Catherine Gagel | Dietitian, Registered | 99 Veterans Way, Mountain Home, TN 37684 | 2015-08-11 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on MISS JENNIFER ANN SPORE.
| 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.