SONDRA TACKETT (NPI# 1508379595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508379595 |
| Entity Type | Individual |
| Full Name | SONDRA TACKETT |
| Credential | RD |
| Practice Address |
19607 W Catawba Ave Cornelius NC 28031-4002 |
| Mailing Address |
172 Williamson Rd Unit 5205 Mooresville NC 28117-5000 |
| Practice Telephone | 7048958000 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86027981 | Dietary & Nutritional Service Providers |
| Street Address |
19607 W CATAWBA AVE |
| City | CORNELIUS |
| State | NC |
| Zip Code | 28031-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245289149 | Kevin Wayne Lafone | Optometrist | 19607 W Catawba Ave, Cornelius, NC 28031-4002 | 2006-05-08 |
| 1972019172 | Dylan Lowry | Dietitian, Registered | 19607 W Catawba Ave, Cornelius, NC 28031-4002 | 2017-12-26 |
| 1225492226 | Sarah Schlichter | Dietitian, Registered | 19607 W Catawba Ave, Cornelius, NC 28031-4002 | 2016-04-06 |
| 1407295421 | Goodman Chiropractic, PC | Chiropractor | 19607 W Catawba Ave, Suite 103, Cornelius, NC 28031-4002 | 2013-06-24 |
| 1518140672 | Carolina Eye Care Od Pa | Optometrist | 19607 W Catawba Ave, Cornelius, NC 28031-4002 | 2007-12-12 |
| 1376743906 | James B Godley Jr. | Dentist | 19607 W Catawba Ave, Suite F, Cornelius, NC 28031-4002 | 2007-07-22 |
| 1093835514 | Holistic Medical Consultants | Pediatrics | 19607 W Catawba Ave, Cornelius, NC 28031-4002 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827221 | Jessica Leigh Akbari | Behavior Technician | 16915 Liverpool Pkwy. Suite B, Cornelius, NC 28031 | 2020-10-02 |
| 1548871569 | Aalasa Brooks | Behavior Technician | 16915 Liverpool Pkwy, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1366053381 | Mary-clara Pearl Mcalister | Behavior Technician | 16915 Liverpool Parkway, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1851926075 | Cherie Torrence | Acupuncturist | 16930 W. Catawba Ave 203, Cornelius, NC 28031 | 2020-03-09 |
| 1154970481 | 100 Percent Chiropractic Padilla, LLC | Chiropractor | 19722 One Norman Drive, Suite 210, Cornelius, NC 28031 | 2019-09-09 |
| 1528628526 | O'brien and West, Dmd Viii, Pllc | Dentist | 19911 Zion Ave Bldg D, Ste. #d4, Cornelius, NC 28031 | 2019-06-20 |
| 1548775182 | Gretchen Anthony | Social Worker | 17105 Kenton Drive, Suite 201c, Cornelius, NC 28031 | 2017-12-05 |
| 1669842076 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21720 Catawba Ave, Cornelius, NC 28031 | 2015-09-28 |
| 1518336296 | Special Touch Living | Clinic/Center | 11262 Heritage Green Drive, Cornelius, NC 28031 | 2015-09-23 |
| 1568830917 | Michelle Rene Skaggs | Occupational Therapist | 9075 Rosalyn Glen Rd, Cornelius, NC 28031 | 2015-09-02 |
| Find all providers in zip 28031 | ||||
| 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 |
|---|---|---|---|---|
| 1366098600 | Kaytlin Kimball | Dietitian, Registered | 715 S 8th Ave, Cornelius, OR 97113-6926 | 2019-08-13 |
| 1720630585 | Amanda Ellen Averett | Dietitian, Registered | 19607 W Catawba Ave Ste 102, Cornelius, NC 28031-4042 | 2019-07-11 |
| 1760974026 | Cindy Custer | Dietitian, Registered | 18137 W Catawba Ave, Cornelius, NC 28031-5641 | 2018-06-03 |
| 1043712482 | Sara Kerr | Dietitian, Registered | 1525 S 10th Ter, Cornelius, OR 97113-7441 | 2018-03-01 |
| 1629412119 | Laura Greenhow | Dietitian, Registered | 20409 Sterling Bay Ln W, Apt C, Cornelius, NC 28031-4940 | 2013-04-26 |
| 1386778066 | Kerri K Doucette | Dietitian, Registered | 20218 Colony Point Ln, Cornelius, NC 28031-6011 | 2007-03-15 |
| 1811546443 | Pamela Passarelli Sherrill | Dietitian, Registered | 18137 W Catawba Ave, Cornelius, NC 28031-5641 | 2019-09-06 |
| 1194381913 | Preston Reid Jackson | Dietitian, Registered | 18137 W Catawba Ave, Cornelius, NC 28031-5641 | 2019-05-16 |
| 1013480102 | Cynthia Winsor-mercurio | Dietitian, Registered | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-01-10 |
| 1972019172 | Dylan Lowry | Dietitian, Registered | 19607 W Catawba Ave, Cornelius, NC 28031-4002 | 2017-12-26 |
| Find all providers in CORNELIUS | ||||
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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.