LINDA JEAN PRUITT (NPI# 1487762225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487762225 |
| Entity Type | Individual |
| Full Name | LINDA JEAN PRUITT |
| Credential | MA,RD |
| Practice Address |
1608 Main St Conway SC 29526-3572 |
| Mailing Address |
1012 Ennis Dr Murrells Inlet SC 29576-7571 |
| Practice Telephone | 8432484700 |
| Practice Fax Number | 8432483145 |
| Mailing Telephone | 8433570891 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891075024 | Linda Manous Pruitt | Occupational Therapy Assistant | 140 Tokeena Rd, Seneca Health and Rehab Center, Seneca, SC 29678 | 2011-08-19 |
| 1861530578 | Linda Pruitt | Nurse Practitioner | 4847 E Virginia St, Suite D, Evansville, IN 47715-2611 | 2007-02-02 |
| Street Address |
1608 MAIN ST |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518528 | Joseph Hamilton Odom | Pharmacist | 1608 Main St, Conway, SC 29526-3572 | 2005-06-20 |
| 1568083210 | Kristen Mottey | Social Worker | 1608 Main St, Conway, SC 29526-3572 | 2020-05-05 |
| 1942832050 | Stephanie Jayne Ball | Social Worker | 1608 Main St, Conway, SC 29526-3572 | 2020-02-06 |
| 1295229656 | Kaitlin Elizabeth Hojnowski | Social Worker | 1608 Main St, Conway, SC 29526-3572 | 2018-06-19 |
| 1245742782 | Linda Leeko Hudson | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2017-10-24 |
| 1306382304 | Lindsey Brooke Jernigan | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2017-01-13 |
| 1144637166 | Amanda Gerrald | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2014-07-22 |
| 1518238591 | Lina Abdelmajid Hajar | Specialist | 1608 Main St, 15c, Box No 87, Conway, SC 29526-3572 | 2012-01-23 |
| 1336423193 | Health Care Partners of South Carolina, Inc. | Clinical Medical Laboratory | 1608 Main St, Conway, SC 29526-3572 | 2011-09-28 |
| 1609106392 | Shalini Gates | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2010-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| 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 |
|---|---|---|---|---|
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1083116941 | Whitney Marie Holland | Dietitian, Registered | 3475 Malvern Hill Rd, Conway, AR 72032-9163 | 2018-03-06 |
| 1104204270 | Erick Keith Mccarthy | Dietitian, Registered | 18 Water Oak Dr, Conway, AR 72034-3430 | 2015-05-11 |
| 1154627800 | Charity Ashworth | Dietitian, Registered | 700 Salem Rd, Conway, AR 72034-4818 | 2011-01-28 |
| 1760705222 | Alane Scheider | Dietitian, Registered | 500 Hiland Ave, Conway, PA 15027-1464 | 2010-03-11 |
| 1013240928 | Janet A Dance | Dietitian, Registered | 2125 Desha Dr, Conway, AR 72034-7394 | 2009-09-09 |
| 1528209558 | Nina L. Roofe | Dietitian, Registered | 12 Sarah Ln, Conway, AR 72032-9049 | 2009-03-21 |
| 1144244302 | Karen Nichole Thompson | Dietitian, Registered | 2125 College Avenue, Conway, AR 72034 | 2006-07-27 |
| 1366059560 | Lori Jean Dather | Dietitian, Registered | 603 Harkrider St, Conway, AR 72032-5633 | 2020-09-30 |
| 1720605900 | Kristen Nicole Shores | Dietitian, Registered | 150 E Siebenmorgen Rd, Conway, AR 72032-4000 | 2020-07-03 |
| Find all providers in CONWAY | ||||
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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.