123 NUTRITION, L.L.C. (NPI# 1598253668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598253668 |
| Entity Type | Organization |
| Organization Name | 123 NUTRITION, L.L.C. |
| Practice Address |
2715 Gusty Ln Monroe NC 28110-8001 |
| Practice Telephone | 7046915862 |
| Mailing Telephone | 7046915862 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | MR. DAVID G STONER II (OWNER/REGISTERED DIETITIAN) |
| Authorized Official Telephone | 7046915862 |
| Authorized Official Credential | RD, LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L005319 | NC | Dietary & Nutritional Service Providers |
| Street Address |
2715 GUSTY LN |
| City | MONROE |
| State | NC |
| Zip Code | 28110-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| 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 |
|---|---|---|---|---|
| 1932707759 | Bonnie C Guerriero | Dietitian, Registered | 3217 Claiborne Cir, Monroe, LA 71201-2007 | 2020-10-14 |
| 1942811559 | Madeline Shane Gebhardt | Dietitian, Registered | 407 Fox Den Trl, Monroe, LA 71203-6016 | 2020-08-17 |
| 1053943225 | Jill Ann Mongene | Dietitian, Registered | 4295 Keisling Ridge Rd, Monroe, TN 38573 | 2020-02-06 |
| 1568026268 | Tracie Via | Dietitian, Registered | 1421 Bluff Creek Trl, Monroe, GA 30656-8640 | 2019-04-28 |
| 1649743519 | Mariel Hope Anderson | Dietitian, Registered | 1100 N 18th St Ste 104, Monroe, LA 71201-5781 | 2019-01-03 |
| 1215471099 | Jamie Levy | Dietitian, Registered | 70 Christianna Dr, Monroe, CT 06468-3104 | 2016-12-13 |
| 1699198283 | Dana Helean Pryor | Dietitian, Registered | 2307 Rainbrook Dr, Monroe, NC 28112-8045 | 2014-02-02 |
| 1740521848 | Tracy Kuzava | Dietitian, Registered | 843 Lopez Ln, Monroe, GA 30655-8487 | 2013-03-14 |
| 1750667481 | Affinity Health Group, LLC | Dietitian, Registered | 2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 | 2011-10-26 |
| 1669767638 | Affinity Health Group, LLC | Dietitian, Registered | 920 Oliver Rd # J, Monroe, LA 71201-5702 | 2011-06-17 |
| Find all providers in MONROE | ||||
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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.