MRS. KRISTINE S WILLIAMS (NPI# 1508832791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508832791 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINE S WILLIAMS |
| Credential | RD LD |
| Practice Address |
12000 Stone Lake Rd Dulce Health Center Dulce NM 87528 |
| Mailing Address |
43 Ophir Dr Durango CO 81301 |
| Practice Telephone | 5057593291 |
| Practice Fax Number | 5057597289 |
| Mailing Telephone | 9703820927 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2008-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 468 | NM | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 56186878 | 05 | |
| NM | 000K3526 | 05 | |
| NM | MEDICARE PART B | HSZ196 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255974945 | Kristine Leeann Williams | Behavior Technician | 32998 Truman Rd, Rockwood, MI 48173-8600 | 2019-10-24 |
| 1184287682 | Kristine Dionne Williams | Nurse Practitioner | 3847 Rhoda Ave, Oakland, CA 94602-3322 | 2019-04-19 |
| 1689158792 | Kristine Williams | Naturopath | 1188 Bishop St Ste 1509, Honolulu, HI 96813-3306 | 2018-09-25 |
| 1265823736 | Kristine Williams | Counselor | 6509 S Santa Fe Dr, Littleton, CO 80120-2910 | 2015-02-05 |
| 1588083208 | Kristine Williams | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2014-04-09 |
| 1912231986 | Kristine Patricia Williams | Physical Therapist | 611 Old Willets Path, Hauppauge, NY 11788-4115 | 2009-09-24 |
| 1265458582 | Kristine G Williams | Pediatrics | 13001 N Outer 40 Rd, Ste 310, Chesterfield, MO 63017-5941 | 2006-07-14 |
| Street Address |
12000 STONE LAKE RD DULCE HEALTH CENTER |
| City | DULCE |
| State | NM |
| Zip Code | 87528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710210455 | Carolyn Lieb | Pharmacy Technician | 12000 Stone Lake Rd, Dulce, NM 87528-0187 | 2009-09-14 |
| 1124220900 | Jicarilla Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 12000 Stone Lake Rd, Dulce, NM 87528 | 2007-06-04 |
| 1598985798 | John E Shumack | Pharmacist | 12000 Stone Lake Rd, Dulce, NM 87528 | 2007-04-27 |
| 1922178359 | Robert Patrick Sewell | Dentist | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-11-09 |
| 1346326600 | Jicarilla Apache Health Care Facility | Clinic/Center | 12000 Stone Lake Rd, Dulce, NM 87528-0187 | 2006-10-30 |
| 1427160282 | Susan Frances Donlon | Registered Nurse | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-08-31 |
| 1194834242 | Katherine E Berry | Dental Hygienist | 12000 Stone Lake Rd, Jicarilla Apache Health Care Facility, Ihs, Dulce, NM 87528-0000 | 2006-08-30 |
| 1255347043 | Gaylia Dianne Pride | Registered Nurse | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-07-31 |
| 1003820069 | Jicarilla Health Care Facility | Clinic/Center | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
| 1780003442 | Jacob Alexander | Preventive Medicine | 500 N. Mundo, Dulce, NM 87528 | 2014-04-09 |
| 1881020089 | Jicarilla Apache Nation | Clinic/Center | 450 N Mundo Dr., Dulce, NM 87528 | 2013-09-19 |
| 1285971515 | Samuel Taylor Cropp | Pharmacist | 500 N Mundo Dr, Dulce, NM 87528 | 2013-01-07 |
| 1720331697 | Northwest Reional Education Coop #2 | Student in an Organized Health Care Education/Training Program | 91 Hawk Drive, Dulce, NM 87528 | 2012-10-17 |
| 1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
| 1669762043 | Veronica A Medlin | Technician, Pathology | 1200 Stone Lake Rd, Dulce, NM 87528 | 2011-04-19 |
| 1891085262 | Stella Elizabeth Wilson | Spec/Tech, Pathology | 500 Stone Lake Road, Dulce, NM 87528 | 2011-04-19 |
| 1134419518 | Ray Morris Joe | Technician, Pathology | 500 North Mundo Road, Dulce, NM 87528 | 2011-04-19 |
| 1801186341 | Raquel Irene Cisneros | Family Medicine | 500 N. Mundo Dr., Dulce, NM 87528 | 2011-04-18 |
| Find all providers in zip 87528 | ||||
| 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 |
|---|---|---|---|---|
| 1972117661 | Jose Luis Guzman Jr. | Dietitian, Registered | 947 Cerrito Dr Apt A, Gallup, NM 87301-5421 | 2020-09-01 |
| 1184237075 | Kelly Ann Gardiner | Dietitian, Registered | 9123 Retablo Rd Nw, Albuquerque, NM 87120-7138 | 2020-08-28 |
| 1356954929 | Hannah Contrucci | Dietitian, Registered | 2920 Carlisle Blvd Ne Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
| 1083227656 | Advanced Nutrition Services, LLC | Dietitian, Registered | 2920 Carlisle Blvd Ne, Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
| 1366051997 | Uma Borkar | Dietitian, Registered | 4425 Ojo Caliente Cir, Las Cruces, NM 88011-4303 | 2020-07-29 |
| 1376152108 | Stephanie Faith Swarthout | Dietitian, Registered | 1401 10th St Ste E, Alamogordo, NM 88310-5012 | 2020-07-28 |
| 1912525445 | Sunrise Nutrition Services, LLC | Dietitian, Registered | 601 C Avenue, Zuni, NM 87327-8732 | 2020-07-10 |
| 1417575267 | Valerie Silver | Dietitian, Registered | 6225 Hannett Ave Ne, Albuquerque, NM 87110-5918 | 2020-07-08 |
| 1295350346 | Amanda Montano | Dietitian, Registered | 9928 Cielito Norte Way Ne, Albuquerque, NM 87122-3222 | 2020-06-15 |
| 1457974420 | Juliet Corley | Dietitian, Registered | 926 Madeira Dr Se, Albuquerque, NM 87108-3618 | 2020-05-25 |
| 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.