DR. JAMIE BROUSSARD PACKMAN (NPI# 1598094526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598094526 |
| Entity Type | Individual |
| Full Name | DR. JAMIE BROUSSARD PACKMAN |
| Credential | PH.D. |
| Practice Address |
2300 Highway 365 Suite 330 Nederland TX 77627-6256 |
| Mailing Address |
2700 Tyler Ave Nederland TX 77627-6315 |
| Practice Telephone | 4097275785 |
| Mailing Telephone | 4097270501 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 801077 | TX | Dietary & Nutritional Service Providers |
| Street Address |
2300 HIGHWAY 365 SUITE 330 |
| City | NEDERLAND |
| State | TX |
| Zip Code | 77627-6256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862954 | Sambasiva Rao Sukhavasi | Internal Medicine | 2300 Highway 365, Ste. 210, Nederland, TX 77627-6256 | 2005-06-21 |
| 1770957847 | Sambasiva R Sukhavasi Md Pa | Internal Medicine | 2300 Highway 365, Ste. 210, Nederland, TX 77627-6256 | 2015-11-30 |
| 1740535764 | Kalil Al-nassir, Md Pa | Internal Medicine | 2300 Highway 365, Suite 430, Nederland, TX 77627-6256 | 2012-07-16 |
| 1053610089 | Golden Triangle Cardiothoracic and Vascular Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2300 Highway 365, Ste 420, Nederland, TX 77627-6256 | 2011-03-16 |
| 1346553120 | Amit M. Patel | Dermatology | 2300 Highway 365, Suite 670, Nederland, TX 77627-6256 | 2010-07-21 |
| 1619105079 | Ronald K Mccraw, Phd, Do, Pa | Psychologist | 2300 Highway 365, Suite 610, Nederland, TX 77627-6256 | 2009-06-24 |
| 1578727616 | Curtis E Wills, PC | Psychologist | 2300 Highway 365, 110, Nederland, TX 77627-6256 | 2008-07-17 |
| 1245406933 | Vision Psychological Services LLP | Psychologist | 2300 Highway 365, 110, Nederland, TX 77627-6256 | 2008-05-02 |
| 1174711667 | Virginia J. Rosas | Social Worker | 2300 Highway 365, Suite 110, Nederland, TX 77627-6256 | 2007-10-09 |
| 1346434750 | M.k. Hamza Ph.d., P.a. | Psychologist | 2300 Highway 365, Ste 110, Nederland, TX 77627-6256 | 2007-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635689 | Linda Christine White | Counselor | 2300 Fm 365, Suite 200, Nederland, TX 77627 | 2018-07-10 |
| 1790274462 | Anew Wellness, LLC | Family Medicine | 1005 Nederland Ave, Nederland, TX 77627 | 2018-05-08 |
| 1851800080 | Teekam Lohano, Md Pa | Pediatrics | 2400 Highway 365 Ste 107, Nederland, TX 77627 | 2017-09-20 |
| 1689198129 | Zachary Slay Cecil | Specialist/Technologist | 2101 N 18th St, Nederland, TX 77627 | 2017-07-26 |
| 1336521210 | Kristina Devillier | Counselor | 520 S Twin City Hwy Ste 106, Nederland, TX 77627 | 2015-06-26 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1346518032 | Kyler Counseling Pllc | Counselor | 320 N. 12th St., Nederland, TX 77627 | 2011-12-08 |
| 1093006082 | Gerzain Whitney Gomez | Dentist | 1320 Franklin Ave, Albritton Dental Associates, Nederland, TX 77627 | 2011-04-25 |
| 1689858102 | Chad Hammett M D Pllc | Specialist | 2200 Hwy 365, Nederland, TX 77627 | 2007-12-19 |
| 1760689244 | Jose Vicente Paloma Limjoco | Physical Therapist | 2324 Knickerbocker Drive, Nederland, TX 77627 | 2007-06-28 |
| Find all providers in zip 77627 | ||||
| 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 |
|---|---|---|---|---|
| 1306930557 | Syamala Lingam | Dietitian, Registered | 1323 S 27th St, Suite 800, Nederland, TX 77627-6294 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902637 | Allison Kleppe | Dietitian, Registered | 6255 Oram St Apt 106, Dallas, TX 75214-3985 | 2020-11-08 |
| 1326649088 | Mitzie Rojas | Dietitian, Registered | 1805 Aquarena Springs Dr Apt 505, San Marcos, TX 78666-8164 | 2020-11-07 |
| 1912507971 | Wendy Snowden | Dietitian, Registered | 11223 Kingsgate Dr, Austin, TX 78748-3435 | 2020-10-29 |
| 1720687718 | Jordan Wright | Dietitian, Registered | 2900 N Braeswood Blvd Apt 6204, Houston, TX 77025-2367 | 2020-10-20 |
| 1891393062 | Melanie Thomas | Dietitian, Registered | 4722 Pickridge Ct, Fresno, TX 77545-7529 | 2020-10-11 |
| 1073110318 | Mary Elizabeth Santarosa Mahoney | Dietitian, Registered | 1322 Cotulla Dr, Allen, TX 75013-4639 | 2020-10-08 |
| 1104423797 | Mariam Maaz Eid | Dietitian, Registered | 8421 Etienne Cv, Austin, TX 78759-8201 | 2020-10-06 |
| 1518564467 | Elizabeth Hill | Dietitian, Registered | 6500 Champion Grandview Way Apt 22105, Austin, TX 78750-8388 | 2020-10-05 |
| 1215534441 | Maryia Nassonova | Dietitian, Registered | 5740 Airport Fwy, Haltom City, TX 76117-6005 | 2020-10-01 |
| 1366049488 | Ifunanya Onyima | Dietitian, Registered | 2500 Marketplace Dr Apt 536, Waco, TX 76711-2440 | 2020-10-01 |
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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.