MRS. ANNI JULLIETT FUENMAYOR


Address: 2302 College Ave, Conway, AR 72034-6297
Phone: 5015135135

MRS. ANNI JULLIETT FUENMAYOR (NPI# 1578198594) 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) 1578198594
Entity Type Individual
Full Name MRS. ANNI JULLIETT FUENMAYOR
Credential MS, PLD
Practice Address 2302 College Ave
Conway
AR 72034-6297
Practice Telephone 5015135135
Mailing Telephone 5015135135
Enumeration Date 2020-03-10
Last Update Date 2020-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133NN1002X Nutritionist
Specialization: Nutrition, Education
PLD237 AR Dietary & Nutritional Service Providers
Y 133V00000X Dietitian, Registered PLD237 AR Dietary & Nutritional Service Providers

Office Location

Street Address 2302 COLLEGE AVE
City CONWAY
State AR
Zip Code 72034-6297

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033106505 Jesse E Clanton Emergency Medicine 2302 College Ave, Conway, AR 72034-6297 2005-09-30
1912529090 Clayton Preston Student in an Organized Health Care Education/Training Program 2302 College Ave, Conway, AR 72034-6297 2020-05-12
1922629666 Dylan Joshua Cruz Student in an Organized Health Care Education/Training Program 2302 College Ave, Conway, AR 72034-6297 2020-05-05
1497376453 Ross Lenzen Student in an Organized Health Care Education/Training Program 2302 College Ave, Conway, AR 72034-6297 2020-04-30
1639790983 Olufadejimi Atanda Kareem Student in an Organized Health Care Education/Training Program 2302 College Ave, Conway, AR 72034-6297 2020-04-28
1346877933 Peggy Ann Schultz Registered Nurse 2302 College Ave, Conway, AR 72034-6297 2020-03-24
1871139394 Sarah C Atkins Nurse Practitioner 2302 College Ave, Conway, AR 72034-6297 2019-11-19
1538714761 Brooke Alexander Miller Specialist/Technologist 2302 College Ave, Conway, AR 72034-6297 2019-08-05
1083279533 Faulkner Emergency Group, Pllc Physician Assistant 2302 College Ave, Conway, AR 72034-6297 2019-05-09
1851861892 Haley Katherine Ruffin Dietitian, Registered 2302 College Ave, Conway, AR 72034-6297 2018-12-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013563758 Shelby M Perez Case Manager/Care Coordinator 3240 Stermer Rd, Conway, AR 72034 2019-08-16
1467932772 Faith J Parfait Licensed Practical Nurse 1352 Watkins St, Conway, AR 72034 2018-08-16
1043790611 David Adam Steinfeld Nurse Practitioner 855 S German Ln Ste 1, Conway, AR 72034 2018-08-14
1245728484 Conway Behavioral Health, LLC Psychiatry & Neurology 2255 Sturgis Rd, Conway, AR 72034 2018-04-24
1972007292 Eldercare of Arkansas IIi, Inc. Assisted Living Facility 1306 S. Donaghey, Conway, AR 72034 2018-03-21
1528561404 Kouhei Kobayashi Specialist/Technologist 2201 Moix Blvd., Apt. 908, Conway, AR 72034 2018-03-16
1780191015 Sydnie Thessing Nurse Practitioner 605 Dave Ward Drive #105, Conway, AR 72034 2018-01-09
1508371865 Ebony Latreace Charleston Case Manager/Care Coordinator 3240 Stermer Road, Conway, AR 72034 2017-12-08
1689190647 Denise Annette Aikman Dentist 1210 Hogan Lane, Suite 200, Conway, AR 72034 2017-08-21
1134669138 Hortons Orthotic Lab, Inc. Prosthetic/Orthotic Supplier 635 Dave Ward, Suite 103, Conway, AR 72034 2017-02-24
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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
1033726922 Alicia Landry Dietitian, Registered 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 2020-09-25
1083116941 Whitney Marie Holland Dietitian, Registered 3475 Malvern Hill Rd, Conway, AR 72032-9163 2018-03-06
1104204270 Erick Keith Mccarthy Dietitian, Registered 18 Water Oak Dr, Conway, AR 72034-3430 2015-05-11
1154627800 Charity Ashworth Dietitian, Registered 700 Salem Rd, Conway, AR 72034-4818 2011-01-28
1760705222 Alane Scheider Dietitian, Registered 500 Hiland Ave, Conway, PA 15027-1464 2010-03-11
1013240928 Janet A Dance Dietitian, Registered 2125 Desha Dr, Conway, AR 72034-7394 2009-09-09
1528209558 Nina L. Roofe Dietitian, Registered 12 Sarah Ln, Conway, AR 72032-9049 2009-03-21
1144244302 Karen Nichole Thompson Dietitian, Registered 2125 College Avenue, Conway, AR 72034 2006-07-27
1366059560 Lori Jean Dather Dietitian, Registered 603 Harkrider St, Conway, AR 72032-5633 2020-09-30
1720605900 Kristen Nicole Shores Dietitian, Registered 150 E Siebenmorgen Rd, Conway, AR 72032-4000 2020-07-03
Find all providers in CONWAY

Competitor

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City CONWAY
Zip Code 72034

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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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