MRS. BALEANA WATTS MCGILBERRY (NPI# 1669764395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669764395 |
| Entity Type | Individual |
| Full Name | MRS. BALEANA WATTS MCGILBERRY |
| Practice Address |
1303 Dr Martin L King Jr Ave Mobile AL 36603-5341 |
| Mailing Address |
Po Box 2048 Mobile AL 36652-2048 |
| Practice Telephone | 2514324117 |
| Practice Fax Number | 2519645401 |
| Mailing Telephone | 2514324117 |
| Mailing Fax Number | 2519644012 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | 917122 | AL | Dietary & Nutritional Service Providers |
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
917122 | AL | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 917122 | AL | Dietary & Nutritional Service Providers |
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
917122 | AL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | STATE LICENSE | D1103 | 01 |
| AL | ALABAMA STATE LICENSE | 17122 | 01 |
| Street Address |
1303 DR MARTIN L KING JR AVE |
| City | MOBILE |
| State | AL |
| Zip Code | 36603-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679532303 | Franklin Primary Health Center, Inc. | Obstetrics & Gynecology | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2006-03-21 |
| 1871119040 | Faith Alce | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-23 |
| 1700401098 | Rashonda Jordan | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-11 |
| 1922623453 | Anna Katherine Leurck | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-10 |
| 1215412770 | Lawana D Kennedy | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-10-01 |
| 1952886491 | Raven J Lang | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-10-01 |
| 1043794480 | Franklin Primary Health Center, Inc. | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-09-21 |
| 1013491802 | Joycelyn Curtis | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-09-18 |
| 1013455641 | Bernadine Peters | Nutritionist | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2017-02-02 |
| 1124565494 | Kimberly Norris | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2017-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1942784483 | Dale Deward Donnelly | Physical Therapy Assistant | 1361 Dr. Martin Luther King Jr. Ave., Mobile, AL 36603 | 2018-09-20 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1699195024 | Jamie Hennigan | Student in an Organized Health Care Education/Training Program | 162.5 N Bayou St, Upper B, Mobile, AL 36603 | 2014-04-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1871936641 | Leticia M Gibbs | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2013-04-11 |
| 1417913682 | Montubua Vasser-smith | Internal Medicine | 1303 Dr Martin Luther King Jr Ave, Mobile, AL 36603 | 2006-04-25 |
| 1003896358 | Angelia Deniese Lewis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2006-01-20 |
| 1982846754 | Dales Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 880 Martin Luther King Ave, Suite E, Mobile, AL 36603-0000 | 2009-03-25 |
| 1619022928 | Ladas Pharmacy | Durable Medical Equipment & Medical Supplies | 1050 S Broad St, Mobile, AL 36603-1038 | 2007-01-24 |
| Find all providers in zip 36603 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952752164 | Kelly West Keyser | Nutritionist | 1908 Hickory Knot Ct, Mobile, AL 36609-3581 | 2016-06-29 |
| 1013455641 | Bernadine Peters | Nutritionist | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2017-02-02 |
| 1376783597 | Jennifer Achimon Bogdahn | Nutritionist | 1610 Center St Ste A, Mobile, AL 36604-1512 | 2009-02-27 |
| 1730199571 | Eva Faye Ankrom-giles | Nutritionist | 1504 Springhill Avenue, Mobile, AL 36604 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432444 | Sara Kaitlin Williams | Nutritionist | 548 Pinecrest Rd, Prattville, AL 36067-3508 | 2020-06-22 |
| 1205495157 | Jodi C Valdez | Nutritionist | 6821 Breyerton Way Se, Owens Cross Roads, AL 35763-8806 | 2019-06-12 |
| 1962906008 | Health Opera, LLC | Nutritionist | 2 Liberty Drive, Madison, AL 35758-8384 | 2018-03-22 |
| 1144738378 | Cheryl Ann Stewart | Nutritionist | 118 Mount Laurel Cir, New Market, AL 35761-7668 | 2018-01-23 |
| 1801301023 | Michelle C Jeffcoat | Nutritionist | 2503 Ridgemont Dr, Birmingham, AL 35244-1228 | 2017-12-11 |
| 1275046054 | Chelsea Q Edwards | Nutritionist | 7738b Madison Blvd Ste 204, Huntsville, AL 35806 | 2017-11-15 |
| 1174042568 | Nutrilevel Consulting LLC | Nutritionist | 1311 Circle Dr, Oxford, AL 36203-3201 | 2017-09-17 |
| 1962943035 | Katie Newton | Nutritionist | 1266 Bj Mixon Rd, Cottonwood, AL 36320-5016 | 2017-03-09 |
| 1457802597 | Nikki Malensky | Nutritionist | 1035 Sipsey Fork Rd, Detroit, AL 35552-2024 | 2016-10-24 |
| 1740503234 | Lauren C Sineath | Nutritionist | 5257 Stockton Pass, Trussville, AL 35173 | 2010-03-11 |
| Find all providers with the same taxonomy | ||||
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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.