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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 1191 | NE | Dietary & Nutritional Service Providers |
Street Address |
3301 GORDON DR |
City | SIOUX CITY |
State | IA |
Zip Code | 51105-3708 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | SIOUX CITY |
Zip Code | 51105 |
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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.