MISS TESSA SHULTICE


Address: 3301 Gordon Dr, Sioux City, IA 51105-3708
Phone: 5154804316

MISS TESSA SHULTICE (NPI# 1609236207) 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) 1609236207
Entity Type Individual
Full Name MISS TESSA SHULTICE
Credential RD, LMNT
Practice Address 3301 Gordon Dr
Sioux City
IA 51105-3708
Mailing Address 3301 Gordon Dr.
Sioux City
IA 51105
Practice Telephone 5154804316
Mailing Telephone 5154804316
Enumeration Date 2016-02-25
Last Update Date 2017-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1191 NE Dietary & Nutritional Service Providers

Office Location

Street Address 3301 GORDON DR
City SIOUX CITY
State IA
Zip Code 51105-3708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063448587 Hy Vee Inc Durable Medical Equipment & Medical Supplies 3301 Gordon Dr, Sioux City, IA 51105-3708 2006-06-25
1386122349 Ashley Engle Pharmacist 3301 Gordon Dr, Sioux City, IA 51105-3708 2018-08-01
1477031425 Diana Glieck Pharmacist 3301 Gordon Dr, Sioux City, IA 51105-3708 2018-08-01
1316356827 Hy Vee Inc Pharmacy 3301 Gordon Dr, Sioux City, IA 51105-3708 2014-08-08
1619105855 Christopher Michael Thieman Pharmacist 3301 Gordon Dr, Sioux City, IA 51105-3708 2009-06-25
1710103650 Shane Michael Schuster Pharmacist 3301 Gordon Dr, Sioux City, IA 51105-3708 2007-04-18
1457470726 Stacey A Jackson Pharmacist 3301 Gordon Dr, Sioux City, IA 51105-3708 2007-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902454465 Andrea Marie Parman Dietitian, Registered Hy-vee #1615 3301 Gordon Drive, Sioux City, IA 51105 2019-08-28
1457727505 Live Well Home Care LLC In Home Supportive Care 519 12th St, Sioux City, IA 51105 2015-08-12
1124403654 Nicole Anne Keegan Counselor 1221 Pierce Street, Sioux City, IA 51105 2015-07-27
1396888236 Siouxland Residential Services Inc Assisted Living Facility 1815 Pierce Street, Sioux City, IA 51105 2007-02-14
1063495810 Siouxland Paramedics Inc Ambulance 1701 Terminal Drive, Sioux City, IA 51105 2005-11-25
1003461518 Mvp Integrative Health Counselor 1221 Pierce Street, Sioux City, IA 51105 2019-08-02
1356718811 Courtney Anderson Counselor 1221 Pierce St, Sioux City, IA 51105 2015-08-31
1861664583 Deborha E Kindig Licensed Practical Nurse 1021 Nebraska St, Sioux City, IA 51105 2008-04-02
1861678997 Elizabeth Kelly Wessling Physician Assistant 1021 Nebraska Street, Sioux City, IA 51105 2008-01-18
1881795771 Mary E Bachman Counselor 1021 Nebraska Street, Sioux City, IA 51105 2006-09-26
Find all providers in zip 51105

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
1902454465 Andrea Marie Parman Dietitian, Registered Hy-vee #1615 3301 Gordon Drive, Sioux City, IA 51105 2019-08-28
1245773118 Kelly J. Morrow Dietitian, Registered 2720 Stone Park Blvd, Sioux City, IA 51104-3734 2016-11-28
1780062976 Elizabeth Overgaauw Dietitian, Registered 4500 Sergeant Rd, Store #1614, Sioux City, IA 51106-4705 2015-05-08
1881028199 Allison M. Hueschen Dietitian, Registered 2720 Stone Park Blvd, Unity Point Health-st. Luke's, Sioux City, IA 51104-3734 2013-08-23
1700218005 Korie Lown Dietitian, Registered 2827 Hamilton Blvd, Sioux City, IA 51104-2403 2013-08-08
1487908638 Michelle Lynn Hauck Dietitian, Registered 2720 Stone Park Blvd, Nfs Dept., Sioux City, IA 51104-3734 2012-11-08
1437447935 Andrea Jean Vogel Dietitian, Registered 2720 Stone Park Blvd, Sioux City, IA 51104-3734 2011-07-18
1083902555 Jennifer Lee Dietitian, Registered 2720 Stone Park Blvd, Nutrition and Food Services, Sioux City, IA 51104-3734 2011-07-18
1982904660 Christine Marie Kayl Dietitian, Registered 1551 Indian Hills Dr Ste 206, Sioux City, IA 51104-1857 2010-10-27
1083823157 Judy M Held Dietitian, Registered 2720 Stone Park Blvd, Sioux City, IA 51104-3734 2007-05-22
Find all providers in SIOUX CITY

Competitor

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City SIOUX CITY
Zip Code 51105

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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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