605 DIETITIAN, LLC (NPI# 1700415296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700415296 |
| Entity Type | Organization |
| Organization Name | 605 DIETITIAN, LLC |
| Practice Address |
276 Tiger Way Unit 1 Harrisburg SD 57032-2506 |
| Mailing Address |
904 E Donlin St Miller SD 57362-1654 |
| Practice Telephone | 6058701036 |
| Mailing Telephone | 6058701036 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | KELSEY MARIE JOHNSON (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 6058701036 |
| Authorized Official Credential | RD, LN, CDCES |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 W. 5th Street, Miller, SD 57362 | 6058701036 |
| Street Address |
276 TIGER WAY UNIT 1 |
| City | HARRISBURG |
| State | SD |
| Zip Code | 57032-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972745 | Harrisburg Family Dental LLC | Dentist | 225 N. Cliff Ave, Suite 2, Harrisburg, SD 57032 | 2020-08-12 |
| 1346746872 | Community Coordinated Transportation System | Non-emergency Medical Transport (VAN) | 700 E 52nd St North, Sioux Falls, SD 57032 | 2018-04-03 |
| 1215487079 | Kathryn M Larson I | Registered Nurse | 200 Willow Street, Harrisburg, SD 57032 | 2016-10-05 |
| 1487003182 | Amy Gage | Registered Nurse | 200 W. Willow St., Harrisburg, SD 57032 | 2016-06-03 |
| 1669810362 | Jenna Thies | Speech-Language Pathologist | 200 Willow St., Harrisburg, SD 57032 | 2013-06-05 |
| 1154564516 | Lora J Clark | Specialist/Technologist | 406 Columbia St, Harrisburg, SD 57032 | 2009-04-15 |
| 1447450994 | Your Daily Dose, Inc. | Pharmacy | 220 South Cliff Ave., Harrisburg, SD 57032 | 2007-07-23 |
| 1841418720 | Janice Ann Smith | Pharmacist | 220 S Cliff Ave, Ste 100, Harrisburg, SD 57032 | 2007-04-23 |
| 1598882276 | Monica Ann Leach | Occupational Therapist | 200 Willow St, Harrisburg, SD 57032 | 2007-03-26 |
| 1871043406 | Robyn Raszkowski | Psychologist | 200 Willow Street, Harrisburg, SD 57032 | 2016-10-06 |
| Find all providers in zip 57032 | ||||
| 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 |
|---|---|---|---|---|
| 1306300447 | Kathryn K Novak | Dietitian, Registered | 4711 Danbury Rd, Harrisburg, PA 17109-1626 | 2019-01-23 |
| 1871008391 | Kathleen Marie Numer | Dietitian, Registered | 409 S 2nd St Ste 2f, Harrisburg, PA 17104-1612 | 2017-12-06 |
| 1750816955 | Mary Ann Tonrey | Dietitian, Registered | 607 South Dr Rm 339, Harrisburg, PA 17120-0600 | 2017-04-25 |
| 1205236346 | Chelsea Johns | Dietitian, Registered | 3916 Brisban St, Harrisburg, PA 17111-2229 | 2014-08-26 |
| 1548680283 | Nicole I Benner | Dietitian, Registered | 123 Forster St, Association Office, Harrisburg Area Ymca, Harrisburg, PA 17102-3409 | 2014-04-21 |
| 1225379175 | Elizabeth Freeman | Dietitian, Registered | 7800 W Highway 124, Harrisburg, MO 65256-9228 | 2013-03-01 |
| 1861772709 | Erin Giles | Dietitian, Registered | 6120 Ironwood Dr, Harrisburg, PA 17112-8548 | 2011-08-23 |
| 1740569136 | Angela Cribari | Dietitian, Registered | 2237 N 2nd St, Apt 3, Harrisburg, PA 17110-1092 | 2011-08-16 |
| 1396934212 | Randi Jo Paskevich | Dietitian, Registered | 7317 Cobble Stone Dr, Harrisburg, PA 17112-9038 | 2007-10-16 |
| 1184647877 | Kathleen Marie Dwyer | Dietitian, Registered | 4204 Society Park Ct Apt D, Harrisburg, PA 17109-4932 | 2006-07-25 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 57032 |
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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.