MRS. MARY VIRGINIA MARK (NPI# 1497242911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497242911 |
| Entity Type | Individual |
| Full Name | MRS. MARY VIRGINIA MARK |
| Credential | RD, LD, CDE |
| Practice Address |
408 Council Circle Suite C Tupelo MS 38801-4949 |
| Practice Telephone | 6623776334 |
| Practice Fax Number | 6623776330 |
| Mailing Telephone | 6623776334 |
| Mailing Fax Number | 6623776330 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D0804 | MS | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMISSION OF DIETETIC REGISTRATION | 860079 | 01 | |
| MS | MISSISSIPPI STATE DEPARTMENT OF HEALTH PROFESSIONAL LICENSURE | D0804 | 01 |
| NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS | 22220310 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901433 | Mary Katherine Mark | Dietitian, Registered | 1680 Michigan Ave Ste 700, Miami Beach, FL 33139-2551 | 2019-06-19 |
| 1497267165 | Mary Mark | Contractor | 175 Remsen St Ste 750, Brooklyn, NY 11201-4382 | 2017-11-02 |
| 1770860157 | Mary Mark | Dental Hygienist | 1313 Fairgrounds Road, Po Box 146, Two Harbors, MN 55616-3000 | 2011-11-13 |
| 1548334204 | Mary E Mark | Obstetrics & Gynecology | 201 Cedar St Se, Ste. 5640, Albuquerque, NM 87106-4917 | 2006-11-17 |
| Street Address |
408 COUNCIL CIRCLE SUITE C |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| 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 |
|---|---|---|---|---|
| 1235581216 | Deborah Stone | Dietitian, Registered | 1150 S Green St, Building 2, Suite D, Tupelo, MS 38804-4901 | 2016-07-01 |
| 1427577428 | Sarah Collins | Dietitian, Registered | 330 W Jefferson St, Tupelo, MS 38804-3936 | 2017-09-12 |
| 1255855243 | Emily Littlejohn | Dietitian, Registered | 845 S Madison St, Tupelo, MS 38801-4905 | 2017-08-01 |
| 1407193410 | Erica Caples Witcher | Dietitian, Registered | 845 S Madison St, Tupelo, MS 38801-4905 | 2013-01-10 |
| 1932349818 | Kristin A. Mcdaniel | Dietitian, Registered | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2009-03-04 |
| 1033377767 | Julia Lucius | Dietitian, Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2008-05-29 |
| 1437317583 | Shelley A Gaggini | Dietitian, Registered | 4250 S Eason Blvd, Tupelo, MS 38801-6549 | 2008-05-27 |
| 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 | ||||
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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.