TANYA L SMITH (NPI# 1720237084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720237084 |
| Entity Type | Individual |
| Full Name | TANYA L SMITH |
| Credential | RD |
| Practice Address |
503 Woods Manor Dr Freeburg IL 62243-4073 |
| Practice Telephone | 6185399888 |
| Mailing Telephone | 6185399888 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2013-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 164.002959 | IL | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 2004017627 | MO | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ADVANCED MEDICAL SOLUTIONS, LLC MEDICARE PIN | MA 2877 | 01 |
| MO | ADVANCED MEDICIAL SOLUTIONS, LLC D/B/A INSIGHT DIETITIANS | 1861674871 | 01 |
| IL | ADVANCED MEDICAL SOLUTIONS, LLC MEDICARE PIN | IL5797 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538681135 | Tanya Evette Smith | Counselor | 1420 Mason Ave Ste 110, Daytona Beach, FL 32117-5507 | 2017-07-14 |
| 1568982817 | Tanya Smith | Lactation Consultant, Non-RN | 6385 Walnut Cv, Benton, AR 72019-1511 | 2017-06-27 |
| 1285062281 | Tanya Y Smith | Licensed Practical Nurse | 4822 Crosscreek Dr, Columbus, OH 43232-6190 | 2013-10-29 |
| 1093840134 | Tanya Marie Smith | Counselor | 2085 Central Ave, Highland, CA 92346-2486 | 2007-02-22 |
| 1518593284 | Tanya Marie Smith | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-03-13 |
| 1952959280 | Tanya Smith | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2019-08-29 |
| 1659935724 | Tanya Smith | Case Manager/Care Coordinator | 3175 E Tremont Ave, Bronx, NY 10461-5700 | 2019-04-24 |
| 1780154963 | Tanya Smith | Occupational Therapy Assistant | 25018 Oakhurst Dr, Spring, TX 77386-2722 | 2018-11-29 |
| 1184116824 | Tanya Lynn Smith | Nurse Practitioner | 500 W Thomas Rd Ste 230, Phoenix, AZ 85013 | 2018-05-30 |
| 1629583752 | Tanya Elaine Smith | Nurse Practitioner | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2017-12-12 |
| Street Address |
503 WOODS MANOR DR |
| City | FREEBURG |
| State | IL |
| Zip Code | 62243-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225351703 | Apex Physical Therapy | Physical Therapist | 251 Marketplace Center, Freeburg, IL 62243 | 2010-03-11 |
| 1346308178 | Debra Ann Biekert | Speech-Language Pathologist | 934 Bay Pointe Dr, Freeburg, IL 62243 | 2006-12-05 |
| 1831289750 | Groceries of Southern Illinois, LLC | Pharmacy | 369 Marketplace Dr, Freeburg, IL 62243 | 2006-10-13 |
| 1255316725 | Vidya Deshpande | Pathology | 45 Sheffield Drive, Belleville, IL 62243 | 2005-12-07 |
| 1619537867 | Angela Kay Kern | Nurse Practitioner | 251 Marketplace Dr, Freeburg, IL 62243 | 2019-06-19 |
| 1386961464 | Jamie L Hahne | Massage Therapist | 102 N State St, Freeburg, IL 62243-1214 | 2010-04-28 |
| 1982600375 | Jannell W Vetter | Physical Therapist | 102 N State St, Freeburg, IL 62243-1246 | 2005-06-22 |
| 1902030927 | Matthew R. Leonard, S.c. | Chiropractor | 102 N State St, Suite A, Freeburg, IL 62243-1246 | 2009-05-05 |
| 1609995687 | Burl Wayne Hand IIi | Dentist | 201b W High St, Freeburg, IL 62243-1313 | 2007-03-28 |
| 1578727103 | Occupational Health Centers of Illinois PC | Clinic/Center | 501 W Apple St, Freeburg, IL 62243-1389 | 2008-07-13 |
| Find all providers in zip 62243 | ||||
| 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 |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
| 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.