JESSICA DUNHAM (NPI# 1679013965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679013965 |
| Entity Type | Individual |
| Full Name | JESSICA DUNHAM |
| Credential | RDN |
| Practice Address |
3640 Bushdale Rd Roanoke VA 24014-6014 |
| Practice Telephone | 5402231532 |
| Mailing Telephone | 5402231532 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86031816 | VA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255848354 | Jessica Brianne Dunham | Occupational Therapist | 449 S Fitness Pl, Eagle, ID 83616-6828 | 2018-01-10 |
| 1902145261 | Jessica Taylor Dunham | Counselor | 7301 Broadway Ext, Oklahoma City, OK 73116-9045 | 2013-02-06 |
| 1619228160 | Jessica Therese Dunham | Psychologist | 1304b Commerce Dr, New Bern, NC 28562-2212 | 2012-09-24 |
| Street Address |
3640 BUSHDALE RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-6014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| 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 |
|---|---|---|---|---|
| 1356831234 | Mary Clifford Brewer | Dietitian, Registered | 6451 Cotton Hill Rd, Roanoke, VA 24018-6911 | 2018-05-16 |
| 1841727989 | Kelsie Lewis | Dietitian, Registered | 14953 Seventeen Lakes Blvd, Roanoke, TX 76262-3732 | 2017-05-19 |
| 1073864393 | Lakshmi Mahan | Dietitian, Registered | 2125 Yellow Mountain Rd Se Apt 104, Roanoke, VA 24014-2422 | 2012-09-26 |
| 1639325558 | Brenda Kay Lucas | Dietitian, Registered | 3721 Autumn Dr, Roanoke, VA 24012-6457 | 2008-08-12 |
| 1023203262 | Stephanie M Murray | Dietitian, Registered | Bellview At Jefferson Street, Crmh Third Floor South, Roanoke, VA 24014 | 2007-09-11 |
| 1093824906 | The Nutrition Resource, Inc. | Dietitian, Registered | 1910 Electric Rd, Roanoke, VA 24018-1621 | 2006-08-30 |
| 1801825534 | Real Life Nutrition, Inc. | Dietitian, Registered | 1030 S Jefferson St Ste 200, Roanoke, VA 24016-4418 | 2006-07-03 |
| 1801863782 | Donald E. Mankie | Dietitian, Registered | 4633 Brambleton Ave, Suite 101, Roanoke, VA 24018-3410 | 2006-03-01 |
| 1821647330 | Jearls Nutrition, LLC | Dietitian, Registered | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2019-09-06 |
| 1033779814 | Kristie Jearls | Dietitian, Registered | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2019-06-14 |
| Find all providers in ROANOKE | ||||
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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.