CELESTE DURHAM


Address: 2101 Highway 90, Gautier, MS 39553-5340
Phone: 2284978874

CELESTE DURHAM (NPI# 1609812833) 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) 1609812833
Entity Type Individual
Full Name CELESTE DURHAM
Credential RD
Practice Address 2101 Highway 90
Gautier
MS 39553-5340
Practice Telephone 2284978874
Practice Fax Number 2284978869
Mailing Telephone 2284978874
Mailing Fax Number 2284978869
Enumeration Date 2006-06-22
Last Update Date 2015-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 724667 MS Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered 819 LA Dietary & Nutritional Service Providers

Office Location

Street Address 2101 HIGHWAY 90
City GAUTIER
State MS
Zip Code 39553-5340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962994897 John Hudson Iv Physical Therapist 2101 Highway 90, Gautier, MS 39553-5340 2018-06-06
1821580762 Allison Crowley Speech-Language Pathologist 2101 Highway 90, Gautier, MS 39553-5340 2018-06-06
1639510142 Joseph Chance Keys Nurse Practitioner 2101 Highway 90, Gautier, MS 39553-5340 2013-07-12
1588803225 Allyson Perez Nurse Anesthetist, Certified Registered 2101 Highway 90, Gautier, MS 39553-5340 2009-02-19
1801059381 John Ryan Logan Internal Medicine 2101 Highway 90, Gautier, MS 39553-5340 2008-07-06
1083893937 Singing River Health System Clinic/Center 2101 Highway 90, Gautier, MS 39553-5340 2007-10-29
1003005133 Singing River Health System Thoracic Surgery (Cardiothoracic Vascular Surgery) 2101 Highway 90, Gautier, MS 39553-5340 2007-10-15
1871628180 Gregory Paul Greer Nurse Anesthetist, Certified Registered 2101 Highway 90, Gautier, MS 39553-5340 2007-02-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205465044 Loggan Malone Dentist 2808 Us-90 W, Gautier, MS 39553 2020-04-03
1770979775 Catherine Durham Counselor 3407 Shamrock Dr., Gautier, MS 39553 2015-04-07
1851648836 Pharmatex, LLC Pharmacy 4551-d Gautier Vancleave Road, Gautier, MS 39553 2012-08-09
1891957544 David W Bonderer Dds Pllc Dentist 2808 Hwy 90, Suite 1, Gautier, MS 39553 2008-06-25
1790830313 William D Parrish Dentist 713 Us Hwy 90, Gautier, MS 39553 2007-01-24
1073685830 Jeffrey Lamone Knight Dentist 3105 Shaw Dr., Gautier, MS 39553 2006-11-15
1720178437 Erica B Wilson Counselor 3704 Shamrock Court, Gautier, MS 39553 2006-10-13
1881781631 James D Victory Chiropractor 315 Highway 90, Gautier, MS 39553 2006-10-05
1508959180 Robert Douglas Holbert Internal Medicine 2105 Old Spanish Trail, Gautier, MS 39553 2006-10-02
1962508119 Sentry-gautier, Inc. Nursing Facility/Intermediate Care Facility 5090 Gautier Vancleave Road, Gautier, MS 39553 2006-09-15
Find all providers in zip 39553

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
1699291906 Dana Schaub Dietitian, Registered 2316 Broadmoor Dr, Gautier, MS 39553-2615 2017-08-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104427780 Ronald Dwayne Woods Dietitian, Registered 1 Ashton Gardens Dr, Jackson, MS 39211-4275 2020-11-02
1720690845 Timmi Unger Bishop Dietitian, Registered 188 Bream Rd, Mantachie, MS 38855-8571 2020-08-19
1033734348 Jaclyn Wehrle Dietitian, Registered 122 Virginia Dr, Hattiesburg, MS 39401-5832 2020-06-11
1447875893 Jaden Nichole Tabat Dietitian, Registered 400 Shadow Creek Dr Unit 400, Oxford, MS 38655-6227 2020-06-11
1467080580 Kimberly Marie Chapman Dietitian, Registered 312 Pine Ridge Pt, Petal, MS 39465-4241 2020-04-01
1437783420 Sara E Foster Dietitian, Registered 36 Craft Rd, Petal, MS 39465-9335 2020-02-27
1922639046 Anna Brashier Dietitian, Registered 410 White Oak St, Waynesboro, MS 39367-2546 2020-01-28
1821628967 Joanne Alison Levanway Dietitian, Registered 13701 Hidden Oaks Dr, Gulfport, MS 39503-7025 2020-01-16
1629615489 Lynne Victoria Longman Dietitian, Registered 2424 Weeping Willow Cir, Hattiesburg, MS 39402-6090 2019-11-28
1083250187 Heather Ruthann Jenkins Dietitian, Registered 2646 Cherry Tree Dr, Southaven, MS 38672-8016 2019-11-23
Find all providers with the same taxonomy

Competitor

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City GAUTIER
Zip Code 39553

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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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