ALICIA LYNN WEAVER (NPI# 1629610134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629610134 |
| Entity Type | Individual |
| Full Name | ALICIA LYNN WEAVER |
| Credential | MS, RD, CSP, LD |
| Practice Address |
1 Pinckney Blvd Beaufort SC 29902-6122 |
| Mailing Address |
25 Pleasant Place Dr Beaufort SC 29907-1188 |
| Practice Telephone | 8432285194 |
| Mailing Telephone | 8432285194 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | L005657 | NC | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 1779 | SC | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 86003530 | Dietary & Nutritional Service Providers | |
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
86003530 | Dietary & Nutritional Service Providers |
| Street Address |
1 PINCKNEY BLVD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352643 | Terry Lynn Elliott | Family Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-08-10 |
| 1366042327 | Selena Damiano | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-10-29 |
| 1023620150 | Duy Thien Vinh Truong | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-08-19 |
| 1366060071 | Christopher Taylor Davis | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-09 |
| 1942828884 | Abraham Kim | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-07 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1710529995 | Jules C Martowski | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-09 |
| 1053968784 | John Claiborne Millar | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-19 |
| 1043866049 | Celeste Roberts | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-15 |
| 1659924470 | Kyle Birchall | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| 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 |
|---|---|---|---|---|
| 1912525387 | Heather Noel Smith | Dietitian, Registered | 206 Dela Gaye Pt, Beaufort, SC 29902-5888 | 2020-07-11 |
| 1033736566 | Julia Stuart | Dietitian, Registered | 2201 Boundary St Apt 203, Beaufort, SC 29902-3880 | 2020-06-30 |
| 1770788424 | Rebecca G Aiello | Dietitian, Registered | 209 Stuart Town Rd, Beaufort, SC 29902-6115 | 2007-06-20 |
| 1144389784 | Shannon Tracy Guthrie | Dietitian, Registered | 225 Bridgewater Dr, Beaufort, NC 28516-1650 | 2006-12-08 |
| 1154895654 | Sound Nutrition Consulting, LLC | Dietitian, Registered | 225 Bridgewater Dr, Beaufort, NC 28516-1650 | 2019-01-17 |
| 1851868244 | Roxanne Davis Cote | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-24 |
| 1023585411 | Jessica Marie Hausfeld | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-24 |
| 1366917940 | Lydia C Wickenhoefer | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-10 |
| 1922557537 | Shanae White | Dietitian, Registered | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2016-09-23 |
| 1114472495 | Courtney Reynolds | Dietitian, Registered | 1 Pinckney Blvd, Room 4w118, Beaufort, SC 29902-6122 | 2016-08-17 |
| Find all providers in BEAUFORT | ||||
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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.