THERESA E DVORAK (NPI# 1497230734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497230734 |
| Entity Type | Individual |
| Full Name | THERESA E DVORAK |
| Credential | RD |
| Practice Address |
3334 E Fortuna Dr Salt Lake City UT 84124-5616 |
| Practice Telephone | 9704209338 |
| Mailing Telephone | 9704209338 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 6317644-4901 | UT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811148752 | Theresa A Dvorak | Physical Therapist | 6695 N Chestnut St, Ravenna, OH 44266-3905 | 2008-10-09 |
| Street Address |
3334 E FORTUNA DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| 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 |
|---|---|---|---|---|
| 1295342426 | Claire Pomorski | Dietitian, Registered | 996 S 200 E Apt 108, Salt Lake City, UT 84111-4253 | 2020-10-01 |
| 1518570118 | Stephanie P Bergen | Dietitian, Registered | 1132 E Bryan Ave Apt A, Salt Lake City, UT 84105-2508 | 2020-08-25 |
| 1023626199 | Amelia Pape | Dietitian, Registered | 2079 S 1200 E Unit 210, Salt Lake City, UT 84105-3582 | 2020-07-15 |
| 1669099024 | Rachel Elizabeth Hoobler | Dietitian, Registered | 718 E Emerson Ave, Salt Lake City, UT 84105-2217 | 2020-07-01 |
| 1780204511 | Joan Kathleen Ryan | Dietitian, Registered | 5370 E Pioneer Fork Rd, Salt Lake City, UT 84108-1679 | 2020-04-22 |
| 1104460567 | Patricia Maxine Guenther | Dietitian, Registered | 16 E Churchill Dr, Salt Lake City, UT 84103-2266 | 2019-10-29 |
| 1578043816 | Alexander James Barker Smith | Dietitian, Registered | 263 L St, Salt Lake City, UT 84103-3541 | 2018-08-16 |
| 1861970337 | Mylena Avalos Dominguez | Dietitian, Registered | 295 S Chipeta Way Ste 248, Salt Lake City, UT 84108-1287 | 2018-08-06 |
| 1073029245 | Lindsey Marie Imber | Dietitian, Registered | 500 Foothill Dr Bldg 5, Salt Lake City, UT 84148-5101 | 2017-12-23 |
| 1528573706 | Emilee Gilbert | Dietitian, Registered | 2060 E Harvest Park Ct Apt 10, Salt Lake City, UT 84121-6858 | 2017-12-09 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on THERESA E DVORAK.
| 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.