COURTNEY VICKERY (NPI# 1598380719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598380719 |
| Entity Type | Individual |
| Full Name | COURTNEY VICKERY |
| Credential | MS, RD, LD |
| Practice Address |
Dw Brooks Dr Athens GA 30602 |
| Mailing Address |
1720 Epps Bridge Pkwy. Ste. 108 #222 Athens GA 30606 |
| Practice Telephone | 7063898185 |
| Mailing Telephone | 7063898185 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023339348 | Courtney Alana Hayashi Vickery | Family Medicine | 222 Tongass Dr, Sitka, AK 99835-9416 | 2010-06-22 |
| 1487828034 | Courtney A. Vickery | Occupational Therapist | 10560 Old Olive Street Rd, Suite 100, Creve Coeur, MO 63141-5916 | 2008-04-15 |
| Street Address |
DW BROOKS DR |
| City | ATHENS |
| State | GA |
| Zip Code | 30602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891979803 | Psychology Clinic | Psychologist | 139 Psychology Bldg., The University of Georgia, Athens, GA 30602 | 2007-12-27 |
| 1902008188 | A. Michele Lease | Psychologist | 630 Aderhold Hall, University of Georgia, Athens, GA 30602 | 2007-06-01 |
| 1992881841 | Uga Speech and Hearing | Audiologist | 593 Aderhold Hall, Athens, GA 30602 | 2006-10-31 |
| 1437702453 | Anna Catherine Jessup | Specialist/Technologist | 330 River Rd, Athens, GA 30602 | 2019-07-18 |
| 1598072845 | Kendra Cordero Nelson | Physical Therapist | 370 River Road, Athens, GA 30602 | 2010-09-08 |
| 1104013150 | Kellie L Bauer | Speech-Language Pathologist | 593 Aderhold Hall, University of Georgia Speech and Hearing Clinic, Athens, GA 30602 | 2007-10-03 |
| 1699322271 | Michael Comeaux Jr. | Specialist/Technologist | 518 Dw Brooks Drive, Athens, GA 30602-0001 | 2019-08-20 |
| 1942852835 | Megha Danielle Sequeira | Specialist/Technologist | 330 Ramsey Road, Athens, GA 30602-0001 | 2019-07-11 |
| 1124688650 | Earl R. Cooper | Specialist/Technologist | 330 River Road 371 Ramsey Center 371 Ramsey Center, Athens, GA 30602-0001 | 2019-06-17 |
| 1700352242 | Uga Applied Behavior Analysis Clinic | Behavioral Analyst | 546 Aderhold Hall, Athens, GA 30602-0001 | 2018-10-23 |
| Find all providers in zip 30602 | ||||
| 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 |
|---|---|---|---|---|
| 1184004574 | Katherine Ossolinski | Dietitian, Registered | 1015 Whit Davis Rd, Athens, GA 30605-4039 | 2015-06-01 |
| 1750782785 | Robin Staub | Dietitian, Registered | 240 E Berkeshire Ct, Athens, GA 30606-8405 | 2014-09-09 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1922349893 | Whitney Elaine Bignell | Dietitian, Registered | 1197 Cedar Shoals Dr, Apt. 103, Athens, GA 30605-5288 | 2013-03-02 |
| 1285981571 | Angela M Garcia | Dietitian, Registered | 140 Brickleberry Rdg, Athens, GA 30605-5714 | 2012-08-06 |
| 1871852491 | Kali Kuzniak | Dietitian, Registered | 145 Appleby Dr, Athens, GA 30605-1748 | 2012-05-16 |
| 1972741908 | Mary Frances Astrom | Dietitian, Registered | Wellworks Grover Center E 144, Ohio University, Athens, OH 45701 | 2009-01-29 |
| 1457554206 | Tena D Daniel | Dietitian, Registered | 2180 Oconee Connector, Ste 105, Athens, GA 30606-5715 | 2007-06-08 |
| 1316148596 | Ohio University | Dietitian, Registered | 75 Hospital Drive Suite 200, Castrop Center, Athens, OH 45701 | 2007-05-29 |
| 1417161597 | Jessica Marie Harris | Dietitian, Registered | 280 King Ave, Athens, GA 30606-2966 | 2007-05-09 |
| Find all providers in ATHENS | ||||
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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.