MRS. MOLLY CAROL SHOCKLEY (NPI# 1588931729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588931729 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY CAROL SHOCKLEY |
| Other Name | MOLLY CAROL POND |
| Credential | RD |
| Practice Address |
2900 Valmont Rd Ste G Boulder CO 80301-1344 |
| Mailing Address |
2501 S County Road 21 Berthoud CO 80513-8456 |
| Practice Telephone | 3034401015 |
| Mailing Telephone | 3039568088 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2012-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1048357 | CO | Dietary & Nutritional Service Providers |
| Street Address |
2900 VALMONT RD STE G |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336322320 | Boulder Nutrition & Exercise Services, LLC | Dietitian, Registered | 2900 Valmont Rd Ste G, Boulder, CO 80301-1344 | 2007-12-12 |
| 1104075514 | Katie Doran Filkins | Dietitian, Registered | 2900 Valmont Rd Ste G, Boulder, CO 80301-1344 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| 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 |
|---|---|---|---|---|
| 1215552583 | Anita P Bancroft | Dietitian, Registered | 4410 Arapahoe Ave Ste 110, Boulder, CO 80303-1135 | 2020-06-12 |
| 1285264614 | Christine L Rice | Dietitian, Registered | 3130 14th St, Boulder, CO 80304-2612 | 2020-01-24 |
| 1104331297 | Terry Lynn Mcarthur | Dietitian, Registered | 205 Lipan Way, Boulder, CO 80303-3634 | 2017-12-11 |
| 1063926509 | Otto Health, LLC | Dietitian, Registered | 5600 Arapahoe Ave Ste 202, Boulder, CO 80303-1359 | 2017-11-20 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1871028993 | Robin Hooge | Dietitian, Registered | 111 Puma Dr, Boulder, CO 80302-9523 | 2017-04-26 |
| 1790224798 | Elizabeth Bahnsen | Dietitian, Registered | 1146 Quince Ave, Boulder, CO 80304-0799 | 2017-02-23 |
| 1407223290 | Alyssa F Neill | Dietitian, Registered | 1014 Adams Cir, C10, Boulder, CO 80303-1832 | 2015-08-27 |
| 1477963544 | Stephanie Mckercher | Dietitian, Registered | 5119 Williams Fork Trl, #106, Boulder, CO 80301-3439 | 2014-04-29 |
| 1831512201 | Meghan Lauring | Dietitian, Registered | 1385 Brown Cir, Boulder, CO 80305-6724 | 2014-01-21 |
| Find all providers in BOULDER | ||||
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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.