BRENDA PENDARVIS (NPI# 1508262494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508262494 |
| Entity Type | Individual |
| Full Name | BRENDA PENDARVIS |
| Credential | R.D. |
| Practice Address |
12505 Barnes Ter Moore OK 73170-3408 |
| Practice Telephone | 4053803031 |
| Mailing Telephone | 4053803031 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | LD1295 | OK | Dietary & Nutritional Service Providers |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LICENSED DIETITIAN | LD1295 | 01 |
| Street Address |
12505 BARNES TER |
| City | MOORE |
| State | OK |
| Zip Code | 73170-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459383 | Victoria Neils | Nutritionist | 1513 W Pittsburg St, Broken Arrow, OK 74012-4940 | 2020-08-28 |
| 1326595703 | Gabriel Cannon | Nutritionist | 326 N Madison Ave, Blanchard, OK 73010-5929 | 2016-09-02 |
| 1811441405 | Lauren Martin | Nutritionist | 1324 S Walnut St, Stillwater, OK 74074-2661 | 2016-08-11 |
| 1205180270 | Madelyne Kay Jones | Nutritionist | 6565 S. Yale Ave., Suite 1200, Gastroenterology Specialists Inc., Tulsa, OK 74138-8313 | 2012-10-30 |
| 1942510706 | Cindy Crase-stevens | Nutritionist | 2201 E. Foster Dr., Ada, OK 74820 | 2010-10-14 |
| 1891908851 | Community Action Development Corporation | Nutritionist | 122 South 3rd St, Sentinel, OK 73664 | 2007-05-07 |
| 1407234321 | Kyra Tyler | Nutritionist | 202639 E County Road 42, Woodward, OK 73801-5442 | 2015-05-12 |
| 1356604987 | Cah Acquisition Company 9 LLC | Nutritionist | Us Highway 60 Northeast, Seiling, OK 73663 | 2012-06-19 |
| 1881991552 | Paul D Harris | Nutritionist | 6465 S Yale Ave, Ste 804, Tulsa, OK 74136-7823 | 2011-02-16 |
| 1932403318 | Debra Beistle Schroeder | Nutritionist | 1201 W Main St, Jenks, OK 74037-2311 | 2010-12-29 |
| 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.