JOAN PIETRON CARLISLE


Address: 2121 Elm Street North, Fargo Va Medical Center, Fargo, ND 58102
Phone: 7012393700

JOAN PIETRON CARLISLE (NPI# 1629221395) 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) 1629221395
Entity Type Individual
Full Name JOAN PIETRON CARLISLE
Credential LRD
Practice Address 2121 Elm Street North
Fargo Va Medical Center
Fargo
ND 58102
Mailing Address 2721 32nd St S
Fargo
ND 58103-7868
Practice Telephone 7012393700
Mailing Telephone 7012321572
Enumeration Date 2008-10-28
Last Update Date 2008-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 111 ND Dietary & Nutritional Service Providers

Other Providers JOAN CARLISLE

NPI Name Taxonomy Address Enumeration
1144431867 Joan B Carlisle Nurse Practitioner 930 20th St S, Suite 101, Birmingham, AL 35205-2610 2007-05-24

Office Location

Street Address 2121 ELM STREET NORTH
FARGO VA MEDICAL CENTER
City FARGO
State ND
Zip Code 58102

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780285924 Shelley Dene Townsend-hansen Dentist 1017 Broadway N, Fargo, ND 58102 2020-11-04
1275190779 Anthony Joseph Duncan Student in an Organized Health Care Education/Training Program 1919 Elm Streent North, Fargo, ND 58102 2019-05-21
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1376063370 Abby Nicole Fredrickson Student in an Organized Health Care Education/Training Program 1919 Elm Street North, Fargo, ND 58102 2017-06-21
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1104215623 Justin Lervik Social Worker 211 Elm St. N, 122, Fargo, ND 58102 2015-01-21
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1821431206 Lanell Staroba Pharmacist 706 D 38th St, Fargo, ND 58102 2013-04-16
Find all providers in zip 58102

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
1003446329 Alexis Ann Allen Dietitian, Registered 1749 38th St S, Fargo, ND 58103-4442 2020-01-26
1487171245 Presticor, Inc. Dietitian, Registered 2603 Kirsten Ln S Ste 104, Fargo, ND 58104-5204 2017-08-23
1558882092 Stephanie E Scott Dietitian, Registered 2701 University Dr S, Fargo, ND 58103-6027 2017-07-06
1912234071 Mary Monica Russell Dietitian, Registered 1702 East Rose Creek Parkway South, Fargo, ND 58104-6834 2009-11-11
1619133832 Mary F Larson Dietitian, Registered 306 4th Street North, Fargo, ND 58102-4820 2008-08-07
1386829844 Jackie R Griffiths Dietitian, Registered 4474 23rd Ave S Ste M, Fargo, ND 58104-8795 2008-01-03
1437103959 Robin J Sickels Dietitian, Registered 737 Broadway, Fargo, ND 58122-0001 2006-05-20
1881295814 Kelsey Kincaid Dietitian, Registered 5225 23rd Ave S, Fargo, ND 58104-7927 2020-11-05
1639786742 Sam Lucas Scardigli Dietitian, Registered 1600 University Dr N, Fargo, ND 58105-2502 2020-09-23
1710507561 Brittany Nicole Twiss Dietitian, Registered 820 4th St N, Fargo, ND 58102-4539 2020-04-22
Find all providers in FARGO

Competitor

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City FARGO
Zip Code 58102

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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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