MRS. MARY LAUREN WHITESIDE (NPI# 1538332663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538332663 |
Entity Type | Individual |
Full Name | MRS. MARY LAUREN WHITESIDE |
Credential | R.D, C.S.P, L.D. |
Practice Address |
4700 Waters Ave Food & Nutrition Services Savannah GA 31404-6220 |
Mailing Address |
4700 Waters Ave P.o. Box 23089 Savannah GA 31404-6220 |
Practice Telephone | 9123509473 |
Practice Fax Number | 8433509557 |
Mailing Telephone | 9123509473 |
Mailing Fax Number | 8433509557 |
Enumeration Date | 2008-04-09 |
Last Update Date | 2012-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
003750 | GA | Dietary & Nutritional Service Providers |
N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
160 | SC | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003124845A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841743481 | Mary Whiteside | Occupational Therapist | 3501 Dunn Rd, Suite 108, Florissant, MO 63033-6762 | 2016-08-01 |
1952619702 | Mary Josephine Whiteside | Counselor | 1235 Mission St, San Francisco, CA 94103-2705 | 2010-09-15 |
1083780829 | Mary Jane Whiteside | Psychologist | 217 Plum St, Suite 140, Red Wing, MN 55066-2351 | 2006-11-24 |
1629140827 | Mary Catharine Whiteside | Social Worker | 1 Oak Plz, Suite 206, Asheville, NC 28801-3008 | 2006-11-14 |
1447266499 | Mary French Whiteside | Psychologist | 2395 Oak Valley Dr, Suite 100, Ann Arbor, MI 48103-8943 | 2006-07-31 |
Street Address |
4700 WATERS AVE FOOD & NUTRITION SERVICES |
City | SAVANNAH |
State | GA |
Zip Code | 31404-6220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023012010 | Peter M Britt | Radiology | 4700 Waters Ave, Savannah, GA 31404-6220 | 2005-06-08 |
1255938288 | Mckenna Maria Valencia | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-10-02 |
1184239451 | Avery Thomas Helms | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-09-13 |
1619580800 | Matthew Shannon | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-26 |
1679184840 | Anna Tincher | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-12 |
1669083168 | Christie Vernon Klinginsmith | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-10 |
1396355004 | Noah Radjenovic | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-06 |
1558987115 | Alyssa Nadji | Registered Nurse | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-06-19 |
1952926065 | Mary Helen Ondriezek | Registered Nurse | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-06-15 |
1326661463 | Danielle Marie Carroll | Pharmacist | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-05-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
Find all providers in zip 31404 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811546211 | April Lynn Dehetre Perkins | Dietitian, Registered | 4 N Quail Xing, Savannah, GA 31419-1244 | 2019-09-09 |
1235475765 | Brittany Elizabeth Lightsey | Dietitian, Registered | 4700 Waters Ave, Savannah, GA 31404-6220 | 2013-01-03 |
1497977565 | Danielle Kelley Webb | Dietitian, Registered | 4700 Waters Ave, Savannah, GA 31404 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629603691 | Meredith Leigh Johnson | Dietitian, Registered | 1400 Tullie Rd Ne # 8221b, Atlanta, GA 30329-2309 | 2020-03-10 |
1407373905 | Chelsea Hrovat | Dietitian, Registered | 1690 Stone Village Ln Nw Ste 322, Kennesaw, GA 30152-7778 | 2017-08-25 |
1285058446 | Jeanne Baker Mcdaniel | Dietitian, Registered | 289 Dartmoor Cir, Sandy Springs, GA 30328-1902 | 2014-02-09 |
1992004519 | Karen Alicia Baldree | Dietitian, Registered | 122 Oakwood Ct, Tifton, GA 31793-5755 | 2011-03-22 |
1720156110 | Laura Lee Davis | Dietitian, Registered | 1640 Powers Ferry Road, Suite 100, Building 9, Marietta, GA 30067-5491 | 2006-12-01 |
1770104283 | Sierra Jacquelynn Wineinger | Dietitian, Registered | 1446 Harper St, Augusta, GA 30912-0012 | 2020-05-06 |
1144862749 | Victoria Baird | Dietitian, Registered | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2019-10-15 |
1659855765 | Lydia Delbridge White | Dietitian, Registered | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2018-09-25 |
1053866970 | Nourishing Nutrition Consulting LLC | Dietitian, Registered | 14 Eastbrook Bnd, Suite 212, Peachtree City, GA 30269-1530 | 2016-08-20 |
1902264153 | Nicole Mcgee Smith | Dietitian, Registered | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2016-02-03 |
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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.