ALICE LEE (NPI# 1487040663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487040663 |
| Entity Type | Individual |
| Full Name | ALICE LEE |
| Practice Address |
604 S Main St Water Valley MS 38965-3468 |
| Practice Telephone | 6624734050 |
| Practice Fax Number | 6624734191 |
| Mailing Telephone | 6624734050 |
| Mailing Fax Number | 6624734191 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1001126 | MS | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346701364 | Alice Joo-hyun Lee | Internal Medicine | 5841 S Maryland Ave # Mc7802, Chicago, IL 60637-1443 | 2019-03-31 |
| 1992107551 | Alice Lee | Optometrist | 417 S San Gabriel Blvd Ste B, San Gabriel, CA 91776-1968 | 2014-09-25 |
| 1609134964 | Alice Lee | Acupuncturist | 8529 Buena Tierra Pl, Buena Park, CA 90621-1001 | 2012-04-24 |
| 1447447719 | Alice So-jin Lee | Optometrist | 14709 Prairie Ave, Lawndale, CA 90260-1831 | 2007-10-01 |
| 1679653968 | Alice W. Lee | Psychiatry & Neurology | 4108 Alfalfa Ter, Olney, MD 20832-2962 | 2006-10-17 |
| 1255340311 | Alice Lee | Dermatology | 7601 Stoneridge Dr., Dermatology, Pleasanton, CA 94588 | 2006-08-07 |
| 1982213435 | Alice Lee | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-07-29 |
| 1649893678 | Alice Lee | Behavior Technician | 4907 Nw 43rd St, Gainesville, FL 32606-2006 | 2020-05-26 |
| 1407477995 | Alice J Lee | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave # Shapiro8, Boston, MA 02215-5400 | 2020-05-06 |
| 1366092280 | Alice Lee | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-09-12 |
| Street Address |
604 S MAIN ST |
| City | WATER VALLEY |
| State | MS |
| Zip Code | 38965-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548828882 | Deana Terry | Nurse Practitioner | 604 S Main St, Water Valley, MS 38965-3468 | 2019-06-02 |
| 1023528155 | Dominika Alina Jegen | Family Medicine | 604 S Main St, Water Valley, MS 38965-3468 | 2017-10-03 |
| 1669826111 | Antoinette Taylor | Family Medicine | 604 S Main St, Water Valley, MS 38965 | 2016-04-21 |
| 1033581665 | Demetrica Stokes Pegues | Nurse Practitioner | 604 S Main St, Water Valley, MS 38965-3468 | 2015-10-22 |
| 1285033571 | Joeli Link | Nurse Practitioner | 604 S Main St, Water Valley, MS 38965-3468 | 2014-08-22 |
| 1972910321 | Jessica Richardson | Nurse Practitioner | 604 S Main St, Water Valley, MS 38965-3468 | 2014-07-17 |
| 1972865871 | Stacy Parker Thomas | Nurse Practitioner | 604 S Main St, Water Valley, MS 38965-3468 | 2012-06-15 |
| 1831119676 | Laurel A Tait | Podiatrist | 604 S Main St, Water Valley, MS 38965-3468 | 2006-07-21 |
| 1114980042 | Heidi D Pratt | Family Medicine | 604 S Main St, Water Valley, MS 38965-3468 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083087985 | Family Health Care Clinic, Inc. | Clinic/Center | 102 Blackmur Dr, Water Valley, MS 38965 | 2015-11-02 |
| 1770713893 | Ben F Toole | Counselor | 1285 County Road 151, Water Valley, MS 38965 | 2009-07-23 |
| 1053451880 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 630 South Main St, Water Valley, MS 38965 | 2007-02-08 |
| 1003977281 | Barney Lee Pullen Jr. | Dentist | 117 Wood St, Water Valley, MS 38965 | 2006-12-12 |
| 1912070277 | Water Valley Rural Health Paul Odom Md | Clinic/Center | 645 South Main Street, Water Valley, MS 38965 | 2006-11-16 |
| 1255414173 | Family Practice Clinic of Water Valley | Family Medicine | 606 So Main St, Water Valley, MS 38965 | 2006-10-23 |
| 1073609467 | Paul Leroy Odom | Family Medicine | 604 South Main Street, Water Valley, MS 38965 | 2006-10-05 |
| 1730129164 | Quality Medical Service, Inc | Durable Medical Equipment & Medical Supplies | Quality Medical Services, Inc, 48 S Main Street, Water Valley, MS 38965 | 2006-06-07 |
| 1124687207 | Dontavious Toles | Physical Therapy Assistant | 50 Main St, Water Valley, MS 38965 | 2019-06-11 |
| 1659607232 | Cinnamon Caryl Foster | Nurse Practitioner | 712 S Main St, Water Valley, MS 38965 | 2009-11-02 |
| Find all providers in zip 38965 | ||||
| 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 |
|---|---|---|---|---|
| 1104427780 | Ronald Dwayne Woods | Dietitian, Registered | 1 Ashton Gardens Dr, Jackson, MS 39211-4275 | 2020-11-02 |
| 1720690845 | Timmi Unger Bishop | Dietitian, Registered | 188 Bream Rd, Mantachie, MS 38855-8571 | 2020-08-19 |
| 1033734348 | Jaclyn Wehrle | Dietitian, Registered | 122 Virginia Dr, Hattiesburg, MS 39401-5832 | 2020-06-11 |
| 1447875893 | Jaden Nichole Tabat | Dietitian, Registered | 400 Shadow Creek Dr Unit 400, Oxford, MS 38655-6227 | 2020-06-11 |
| 1467080580 | Kimberly Marie Chapman | Dietitian, Registered | 312 Pine Ridge Pt, Petal, MS 39465-4241 | 2020-04-01 |
| 1437783420 | Sara E Foster | Dietitian, Registered | 36 Craft Rd, Petal, MS 39465-9335 | 2020-02-27 |
| 1922639046 | Anna Brashier | Dietitian, Registered | 410 White Oak St, Waynesboro, MS 39367-2546 | 2020-01-28 |
| 1821628967 | Joanne Alison Levanway | Dietitian, Registered | 13701 Hidden Oaks Dr, Gulfport, MS 39503-7025 | 2020-01-16 |
| 1629615489 | Lynne Victoria Longman | Dietitian, Registered | 2424 Weeping Willow Cir, Hattiesburg, MS 39402-6090 | 2019-11-28 |
| 1083250187 | Heather Ruthann Jenkins | Dietitian, Registered | 2646 Cherry Tree Dr, Southaven, MS 38672-8016 | 2019-11-23 |
| Find all providers with the same taxonomy | ||||
| City | WATER VALLEY |
| Zip Code | 38965 |
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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.