STEPHANIE LYNN THOMAS (NPI# 1538550132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538550132 |
Entity Type | Individual |
Full Name | STEPHANIE LYNN THOMAS |
Credential | RD, CD |
Practice Address |
1007 Lincolnway La Porte IN 46350-3201 |
Practice Telephone | 2193257632 |
Practice Fax Number | 2193256439 |
Mailing Telephone | 2193257632 |
Mailing Fax Number | 2193256439 |
Enumeration Date | 2015-02-18 |
Last Update Date | 2017-06-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 37002483A | IN | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | MEDICARE PTAN | IN3131008 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396365326 | Stephanie Martha Thomas | Student in an Organized Health Care Education/Training Program | 2220 N Clark St Apt 201, Chicago, IL 60614-3849 | 2020-04-20 |
1770063521 | Stephanie M Thomas | Speech-Language Pathologist | 13075 W Persimmon Ln Ste 120, Boise, ID 83713-1986 | 2018-08-20 |
1770086977 | Stephanie Lorraine Thomas | Developmental Therapist | 111 Fiddlers Ridge Rd, Vine Grove, KY 40175-1265 | 2018-03-14 |
1295247427 | Stephanie Thomas | Dentist | 800 E Merritt Island Cswy # 105, Merritt Island, FL 32952-3514 | 2017-10-27 |
1548785504 | Stephanie Martin Thomas | Case Manager/Care Coordinator | 467277 E 1060 Rd, Sallisaw, OK 74955-7178 | 2017-08-10 |
1003267576 | Stephanie Thomas | Nurse Practitioner | 59315 River West Dr Ste C, Plaquemine, LA 70764-6553 | 2016-06-27 |
1003279894 | Stephanie Frances Kane Thomas | Counselor | 14910 Leeward Dr Unit 605, Corpus Christi, TX 78418-8108 | 2016-03-30 |
1528306578 | Stephanie Lavon Thomas | Counselor | 916 Niblick Dr, Las Vegas, NV 89108-1113 | 2013-01-25 |
1609135862 | Stephanie Michelle Thomas | Speech-Language Pathologist | 2286 Cottage Lane, Blanchard, OK 73010 | 2012-05-09 |
1932402203 | Stephanie K Thomas | Specialist/Technologist | 968 W Juanita Ave, Gilbert, AZ 85233-2549 | 2010-12-08 |
Street Address |
1007 LINCOLNWAY |
City | LA PORTE |
State | IN |
Zip Code | 46350-3201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699304907 | Katherine Elizabeth Davis | Occupational Therapist | 1007 Lincolnway, La Porte, IN 46350-3290 | 2020-04-07 |
1245864057 | Mitchell Steven Molenda | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3290 | 2020-03-02 |
1295381580 | Samantha Burrows | Specialist/Technologist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2019-08-13 |
1447805072 | Jill Renee Oscarson | Speech-Language Pathologist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2019-08-09 |
1922663863 | Ashley Lysle Miller | Physical Medicine & Rehabilitation | 1007 Lincolnway, La Porte, IN 46350-3290 | 2019-05-07 |
1780249946 | Kyleigh Fife | Physical Therapist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2019-05-03 |
1629542204 | Krista Marie Kerby | Occupational Therapist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2019-01-16 |
1538659560 | Stephanie Maris Kadish | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3290 | 2018-05-15 |
1346760873 | Cary Lynn Malstaff | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3201 | 2017-06-26 |
1134652340 | Pathology Associates of Northwest Indiana Inc | Pathology | 1007 Lincolnway, La Porte, IN 46350-3201 | 2017-04-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
Find all providers in zip 46350 |
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 |
---|---|---|---|---|
1245714195 | Brittni Diane Berger | Dietitian, Registered | 1734 N Pine Ridge Dr, La Porte, IN 46350-7992 | 2018-09-17 |
1003364241 | Stephanie Hillyer | Dietitian, Registered | 1007 Lincolnway, La Porte, IN 46350-3201 | 2016-09-16 |
1043295553 | Judy Ann Kwiatkowski | Dietitian, Registered | 1007 Lincolnway, La Porte, IN 46352-0250 | 2005-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
1457950099 | Pablo C Torres Aguilar | Dietitian, Registered | 745 Agriculture Mall Dr Ofc B239, West Lafayette, IN 47907-2009 | 2020-10-24 |
1669079562 | Michele Murphy Wise | Dietitian, Registered | 5105 Woodmere Ct, Valparaiso, IN 46383-6672 | 2020-10-04 |
1760099956 | Jessica Thornton | Dietitian, Registered | 5919 Pine Bluff Dr, Avon, IN 46123-6681 | 2020-09-30 |
1194332346 | Nutrition With Megan, LLC | Dietitian, Registered | 1950 East Greyhound Pass, Suite 18 #179, Carmel, IN 46033-7730 | 2020-09-30 |
1114533445 | Barissa Larson | Dietitian, Registered | 12192 Hoosier Rd, Fishers, IN 46037-9419 | 2020-09-22 |
1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
1174138077 | Monica Coffey | Dietitian, Registered | 2673 E 100 N, Anderson, IN 46012-9684 | 2020-09-09 |
1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
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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.