CASSANDRA STAR EDWARDS


Address: 3901 N Broadway Ave, Ada, OK 74820-1109
Phone: 5803715183

CASSANDRA STAR EDWARDS (NPI# 1518243252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518243252
Entity Type Individual
Full Name CASSANDRA STAR EDWARDS
Credential M.S., R.D./L.D.
Practice Address 3901 N Broadway Ave
Ada
OK 74820-1109
Practice Telephone 5803715183
Mailing Telephone 5803715183
Enumeration Date 2011-10-26
Last Update Date 2011-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1604 OK Dietary & Nutritional Service Providers

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1598027203 Cassandra Rae Edwards Internal Medicine W231n1440 Corporate Ct, Waukesha, WI 53186-1303 2012-06-10
1649348871 Cassandra Iotha Edwards Physician Assistant 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 2006-12-04

Office Location

Street Address 3901 N BROADWAY AVE
City ADA
State OK
Zip Code 74820-1109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578103727 Curry Orthopedics and Sports Medicine Pllc Orthopaedic Surgery 919 Colony Drive, Ada, OK 74820 2020-01-15
1215574603 Miranda Denise Bowman Counselor 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 2019-12-04
1326509654 Patricia June Harjo Case Manager/Care Coordinator Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 2019-03-28
1649737172 Rylee Nikole Leblanc Case Manager/Care Coordinator 1119 S High School St, Ada, OK 74820 2019-02-20
1891251328 David Kinback Rehabilitation Counselor 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 2019-02-20
1922571009 Central Oklahoma Family Medical Center, Inc. Pharmacy 905 Colony Dr, Ada, OK 74820 2019-01-10
1063988673 Central Oklahoma Family Medical Center, Inc Clinic/Center 905 Colony Drive Bldg, Ada, OK 74820 2018-10-22
1265907885 Apex Surgery Center, LLC Surgery 2001 Cradduck Road, Ada, OK 74820 2018-10-10
1689150898 Sabrina Simmons Social Worker 2516 Oakhurst Dr Apt E, Ada, OK 74820 2018-07-11
1700370467 Brianna Leigh Youngwolfe Nurse Practitioner 2020 Arlington St Ste 6, Ada, OK 74820 2018-06-17
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104325844 Leah Rachel Miller Dietitian, Registered Mercy Hospital Ada - Food and Nutrition Services, 430 N Monte Vista, Ada, OK 74820 2018-02-08
1851829865 Sarah Jane Miracle Dietitian, Registered 409 S 14th Pl, Ada, OK 74820-7137 2017-06-03
1538618152 Sandra Linn Andrews Dietitian, Registered 8699 Vergennes St Se, Ada, MI 49301-8910 2016-09-23
1609438159 Mamie Alicia Thompson Dietitian, Registered 430 N Monte Vista St, Ada, OK 74820-4657 2019-07-05
1891247466 Nissa Harrington Dietitian, Registered 1921 Stonecipher Blvd, Ada, OK 74820 2016-10-31
1053778514 Darlene Seck Dietitian, Registered 1921 Stonecipher Blvd, Ada, OK 74820 2016-01-28
1598122194 Caitlin Barringer Dietitian, Registered 1921 Stonecipher Blvd, Ada, OK 74820 2016-01-27
1134550114 Rachael Edmundson Dietitian, Registered 1921 Stonecipher Dr, Ada, OK 74820-3439 2013-12-02
1720325269 Melanie Todd Dietitian, Registered 1921 Stonecipher Dr, Ada, OK 74820-3439 2013-01-03
1245476936 Virginia Austin Dietitian, Registered 1921 Stonecipher Dr, Ada, OK 74820-3439 2008-12-30
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Competitor

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City ADA
Zip Code 74820

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Dataset Information

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.

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