AUDREY CONRAD (NPI# 1619593449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619593449 |
| Entity Type | Individual |
| Full Name | AUDREY CONRAD |
| Credential | MS, RDN |
| Practice Address |
16924 Foothill Ave Apt 3 Eagle River AK 99577-8298 |
| Practice Telephone | 3077612043 |
| Mailing Telephone | 9073821420 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86100931 | AK | Dietary & Nutritional Service Providers |
| Street Address |
16924 FOOTHILL AVE APT 3 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-8298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| 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 |
|---|---|---|---|---|
| 1952934895 | Lea Palmer | Dietitian, Registered | 22835 Glacier View Dr, Eagle River, AK 99577-9560 | 2020-02-19 |
| 1669693750 | Marci Ann Mcgill | Dietitian, Registered | 8700 Inyo Cir, Eagle River, AK 99577 | 2007-05-02 |
| 1891862801 | Elaine Patricia Nisonger | Dietitian, Registered | 9713 Chisik Cir, Eagle River, AK 99577-8785 | 2006-11-29 |
| 1376177378 | Healthy Beginnings LLC | Dietitian, Registered | 22835 Glacier View Dr, Eagle River, AK 99577-9560 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631759 | Britta Amber Brecheen | Dietitian, Registered | 3403 Lois Dr, Anchorage, AK 99517-2000 | 2020-08-24 |
| 1518579473 | Soleil Thiele | Dietitian, Registered | 2210 N Broadway Dr, Palmer, AK 99645-9316 | 2020-08-20 |
| 1457919227 | Janne Holmberg Maier | Dietitian, Registered | 250 Cushman St Ste 3h, Fairbanks, AK 99701-4665 | 2019-06-05 |
| 1326506866 | Balance and Nourish | Dietitian, Registered | 25 Jefferson Way Ste 101b, Ketchikan, AK 99901-5953 | 2019-03-04 |
| 1396217261 | Angela Marie Colburn | Dietitian, Registered | 2751 Debarr Rd Ste 250, Anchorage, AK 99508-6818 | 2018-12-17 |
| 1730658493 | Emily Nicole Henry | Dietitian, Registered | 97 Eichner Ave, Ketchikan, AK 99901-9033 | 2018-11-24 |
| 1063997096 | Sabrina Kay Cabana | Dietitian, Registered | 7900 Evander Dr, Anchorage, AK 99518-3107 | 2018-09-25 |
| 1700381134 | Kimberly Leinani Wilcox | Dietitian, Registered | 621 W Dimond Blvd, Anchorage, AK 99515-1704 | 2018-03-27 |
| 1366950842 | Haley Hughes | Dietitian, Registered | 3240 Providence Drive, Suite A453, Anchorage, AK 99508 | 2018-01-18 |
| 1457867830 | Ashley Lynn Funk | Dietitian, Registered | 6043 E 22nd Ave, Anchorage, AK 99504-3211 | 2017-12-20 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
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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.