JACQUELINE MATTE STEVENS (NPI# 1679088637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679088637 |
| Entity Type | Individual |
| Full Name | JACQUELINE MATTE STEVENS |
| Other Name | JACQUELINE MATTE WAINORIS |
| Credential | MS, RDN |
| Practice Address |
3715 N Business Dr Ste 202 Fayetteville AR 72703-5288 |
| Mailing Address |
3715 Business Drive Suite 202 Fayetteville AR 72703-5204 |
| Practice Telephone | 2076072910 |
| Practice Fax Number | 4795820778 |
| Mailing Telephone | 2076072910 |
| Mailing Fax Number | 4795820778 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI1228 | ME | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482355 | Jacqueline B Stevens | Technician, Pathology | 1172 W Galbraith Rd, Suite 110, Cincinnati, OH 45231 | 2020-09-18 |
| 1932722956 | Jacqueline Stevens | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-05-26 |
| 1881929263 | Jacqueline Stevens | Physical Therapist | 7188 W Sunset Blvd Ste 200, Los Angeles, CA 90046-4446 | 2009-10-02 |
| 1376759167 | Jacqueline R M Stevens | Internal Medicine | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2007-05-16 |
| 1073624565 | Jacqueline Brewer Stevens | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-08-31 |
| 1265492599 | Jacqueline M. Stevens | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-03-23 |
| Street Address |
3715 N BUSINESS DR STE 202 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-5288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437686847 | Tamela Thomas | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2017-05-16 |
| 1396300307 | Ashleigh Dawn Karn | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2019-05-06 |
| 1619532645 | Elizabeth Fiser | Dietitian, Registered | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2019-05-06 |
| 1639734676 | Jenny Pamela Henry | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2019-05-06 |
| 1538630645 | Kimberly Ferris | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2018-12-16 |
| 1902377039 | Kimberly Vick Burris | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2018-12-16 |
| 1720559859 | Adriana Beaudoin | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2018-12-16 |
| 1386145860 | Arthenia Booth Bennett | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2018-02-21 |
| 1497268171 | Amy Erica Cobb | Health Educator | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2017-11-16 |
| 1205348091 | Ashley A Harrington | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2017-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| 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 |
|---|---|---|---|---|
| 1760099238 | Emily Keeling | Dietitian, Registered | 1238 N Vista Pl, Fayetteville, AR 72703-1352 | 2020-09-28 |
| 1114544723 | Katherine Johanna Martin | Dietitian, Registered | 449 Tartan Ct, Fayetteville, NC 28311-1694 | 2020-06-30 |
| 1447872486 | Lindsay Spivey Petty | Dietitian, Registered | 190 Cedar Creek Ct, Fayetteville, GA 30215-2799 | 2020-05-13 |
| 1366003980 | Laura Hill | Dietitian, Registered | 3215 N Northhills Blvd Ste 3, Fayetteville, AR 72703-4424 | 2019-06-25 |
| 1073082053 | Natalie Bules | Dietitian, Registered | 688 E Millsap Rd Ste 100, Fayetteville, AR 72703-3930 | 2018-11-19 |
| 1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
| 1326542317 | Jennifer Joyner | Dietitian, Registered | 424 Mcarthur Rd, Fayetteville, NC 28311-6924 | 2018-03-22 |
| 1114428984 | Paul Thomas Brown | Dietitian, Registered | 3082 W Jewell Rd Apt 1, Fayetteville, AR 72701-1586 | 2018-02-26 |
| 1356799183 | Nutrition Consultants, Inc. | Dietitian, Registered | 6866 Towbridge Rd, Fayetteville, NC 28306-2534 | 2016-06-02 |
| 1619359346 | Sabrina Teresa Hesford | Dietitian, Registered | 408 Warren St, Fayetteville, NY 13066-2138 | 2015-06-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on JACQUELINE MATTE STEVENS.
| 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.