MRS. DELORES CLACK HENDERSON (NPI# 1558702035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558702035 |
Entity Type | Individual |
Full Name | MRS. DELORES CLACK HENDERSON |
Practice Address |
1615 Misty Fawn Ln Fresno TX 77545-9502 |
Practice Telephone | 7134100475 |
Mailing Telephone | 7134100475 |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-07-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | DT01206 | TX | Dietary & Nutritional Service Providers |
Street Address |
1615 MISTY FAWN LN |
City | FRESNO |
State | TX |
Zip Code | 77545-9502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780100610 | Schristiandevelopment | Day Training, Developmentally Disabled Services | 3819 Teal Maple Ct., Fresno, TX 77545 | 2017-08-22 |
1548786924 | Katreece M Bell | Nurse Practitioner | 1834 Bravos Manor Lane, Fresno, TX 77545 | 2017-08-17 |
1275912735 | Evosource | Non-emergency Medical Transport (VAN) | 1307 Peacham Ct, Fresno, TX 77545 | 2015-05-29 |
1407241300 | Gwendolyn Champion | Physician Assistant | 4026 E Teal Estates Cir, Fresno, TX 77545 | 2015-03-30 |
1811394745 | Elaine Khuong | Pharmacist | 12225 Sr 6, Fresno, TX 77545 | 2014-11-20 |
1225442551 | Michael Jerome Tubbs | Specialist/Technologist, Other | 2126 Beacon Light Ln, Fresno, TX 77545 | 2014-06-14 |
1801219431 | Angelica Healthcare Services | Home Health | 3003 Valian Elm Street, Fresno, TX 77545 | 2014-02-03 |
1801048376 | Kroger Texas L P | Pharmacy | 10250 Fresno State Hwy 6, Fresno, TX 77545 | 2008-10-16 |
1215188818 | Kroger Texas Lp | Pharmacy | 10250 State Hwy 6, Fresno, CA 77545 | 2008-10-02 |
1528243201 | M & H Home Care Inc. | Home Health | 1335 Hunter Green Lane, Fresno, TX 77545 | 2007-12-31 |
Find all providers in zip 77545 |
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 |
---|---|---|---|---|
1891393062 | Melanie Thomas | Dietitian, Registered | 4722 Pickridge Ct, Fresno, TX 77545-7529 | 2020-10-11 |
1093345423 | Mary Clare Ovalle | Dietitian, Registered | 10290 N Dearing Ave, Fresno, CA 93730-4772 | 2020-01-24 |
1669939385 | Lisa Herzig | Dietitian, Registered | 9898 N Millbrook Ave, Fresno, CA 93720-1313 | 2019-02-28 |
1063927655 | Teryn Cook Buchanan | Dietitian, Registered | 5305 N Fresno St Ste 103, Fresno, CA 93710-6845 | 2017-12-05 |
1801329214 | Leonila Campos | Dietitian, Registered | 4115 W Fremont Ave, Fresno, CA 93722-9001 | 2017-04-04 |
1770027583 | Lisa Naomi Martinez | Dietitian, Registered | 1816 W Cornell Ave, Fresno, CA 93705-3710 | 2016-12-13 |
1932641743 | Jana Mowrer | Dietitian, Registered | 6840 N Maple Ave Apt 258, Fresno, CA 93710-4587 | 2016-11-09 |
1245782515 | Danielle Lee | Dietitian, Registered | 842 E Fir Ave, Fresno, CA 93720-3232 | 2016-11-02 |
1942754932 | Emily Valdez | Dietitian, Registered | 2610 E Nees Ave Apt 272, Fresno, CA 93720-6023 | 2016-08-08 |
1780051417 | Alice Voluntad | Dietitian, Registered | 5522 N Ellendale Ave, Fresno, CA 93722-2507 | 2015-08-28 |
Find all providers in FRESNO |
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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.