MRS. MARY LAUREN WHITESIDE


Address: 4700 Waters Ave, Food & Nutrition Services, Savannah, GA 31404-6220
Phone: 9123509473

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 003124845A 05

Other Providers MARY WHITESIDE

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

Office Location

Street Address 4700 WATERS AVE
FOOD & NUTRITION SERVICES
City SAVANNAH
State GA
Zip Code 31404-6220

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City SAVANNAH
Zip Code 31404

Improve Information

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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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