MRS. CARLY COOLEY (NPI# 1508316092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508316092 |
| Entity Type | Individual |
| Full Name | MRS. CARLY COOLEY |
| Credential | RDN |
| Practice Address |
1726 Stultz Gap Rd Woodstock VA 22664-3312 |
| Practice Telephone | 5412186805 |
| Mailing Telephone | 5412186805 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1079087 | OR | Dietary & Nutritional Service Providers |
| Street Address |
1726 STULTZ GAP RD |
| City | WOODSTOCK |
| State | VA |
| Zip Code | 22664-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104310770 | Melissa Weidel | Speech-Language Pathologist | 803 S. Main St., Woodstock, VA 22664 | 2018-06-18 |
| 1942708649 | Magda Lia Bullock | Dietitian, Registered | 759 S. Main Street, Woodstock, VA 22664 | 2018-01-28 |
| 1952813768 | Meredith Miller Stimson | Physical Therapy Assistant | 123 Lakeview Dr., Woodstock, VA 22664 | 2017-11-02 |
| 1316463656 | Julia Elizabeth Romero | Doula | 1163 Dysart Road, Woodstock, VA 22664 | 2017-08-18 |
| 1215476098 | Carina C Cardillo | Physician Assistant | 7559 South Main Street, Suite 310, Woodstock, VA 22664 | 2017-02-14 |
| 1306240411 | National Counseling Group, Inc | Counselor | 505 N Main Street, Suite 101, Woodstock, VA 22664 | 2014-10-17 |
| 1255663555 | Laura S Hernandez-dauer | Dentist | 130 East Reservoir Road, Woodstock, VA 22664 | 2010-02-11 |
| 1891026654 | Lofton Verner Anderson | Counselor | 441 North Main Street, Woodstock, VA 22664 | 2010-01-19 |
| 1912236100 | Crossroads Counseling Center | Community/Behavioral Health | 649 N Main St, Woodstock, VA 22664 | 2009-12-17 |
| 1851554992 | Joan Manuel Pino | Dentist | 124 Valley Vista Drive, Woodstock, VA 22664 | 2008-07-09 |
| Find all providers in zip 22664 | ||||
| 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 |
|---|---|---|---|---|
| 1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
| 1083232680 | Jesell Zepeda | Dietitian, Registered | 905 Hickory Rd, Woodstock, IL 60098-2779 | 2020-07-09 |
| 1649809401 | Lisa Michelle Ellenberger | Dietitian, Registered | 316 Lakestone Lndg, Woodstock, GA 30188-5428 | 2020-04-03 |
| 1194359745 | Alec Pienta | Dietitian, Registered | 411 Raven Mocker Ln, Woodstock, GA 30189-2580 | 2020-02-22 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1942708649 | Magda Lia Bullock | Dietitian, Registered | 759 S. Main Street, Woodstock, VA 22664 | 2018-01-28 |
| 1275906877 | Stacia Riffe | Dietitian, Registered | 2125 Greenview Dr, Woodstock, IL 60098-7016 | 2015-11-04 |
| 1275805475 | Marla Stromberg | Dietitian, Registered | 102 Mirramont Lake Dr, Woodstock, GA 30189-8213 | 2012-02-02 |
| 1811206022 | Julie Taylor Rambo | Dietitian, Registered | 801 Montclaire Pl, Woodstock, GA 30189-5219 | 2010-10-05 |
| 1770713984 | Sarah Jane Buytendorp | Dietitian, Registered | 3707 Doty Rd Ste A, Woodstock, IL 60098 | 2009-07-22 |
| Find all providers in WOODSTOCK | ||||
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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.