MRS. ALEXANDRA ELIZABETH BREWER (NPI# 1720395460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720395460 |
Entity Type | Individual |
Full Name | MRS. ALEXANDRA ELIZABETH BREWER |
Credential | R.D. |
Practice Address |
1418 College Dr Mount Carmel IL 62863-2638 |
Practice Telephone | 6182628621 |
Practice Fax Number | 6182636457 |
Mailing Telephone | 6182628621 |
Mailing Fax Number | 6182636457 |
Enumeration Date | 2010-09-01 |
Last Update Date | 2010-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 164005307 | IL | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265903231 | Alexandra Virginia Brewer | Psychologist | 291 Independence Dr, Chestnut Hill, MA 02467-3628 | 2018-12-17 |
Street Address |
1418 COLLEGE DR |
City | MOUNT CARMEL |
State | IL |
Zip Code | 62863-2638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194728808 | Wabash General Hospital District | General Acute Care Hospital | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2005-05-27 |
1871110213 | Sabrina Waldroup | Nurse Practitioner | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2020-07-01 |
1326664228 | Rachel Lynn Metz | Physician Assistant | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2020-06-17 |
1295395341 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2019-06-19 |
1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
1396135885 | Christopher Slane | Nurse Anesthetist, Certified Registered | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2015-02-04 |
1487063723 | Samuel Hodges | Specialist/Technologist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2014-08-12 |
1376952721 | Adrian Jonel Ola | Specialist/Technologist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2014-08-11 |
1619229986 | Jill Marie Wilkinson | Physical Therapist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2012-10-10 |
1447502182 | Dana Elaine Hawkins | Occupational Therapist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2012-10-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295200319 | Beth Marie Fischer | Physician Assistant | 1527 College Dr., Mt. Carmel, IL 62863 | 2018-10-04 |
1386194744 | Kayla Marie Wilcox | Physician Assistant | 1527 College Drive, Mt. Carmel, IL 62863 | 2016-10-10 |
1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
1417147760 | Keesha L. Peterson | Speech-Language Pathologist | 1418 College Drive, Physical Medicine Department, Mount Carmel, IL 62863 | 2007-08-01 |
1740488139 | Wabash Area Vocational Enterprises, Inc. | Day Training, Developmentally Disabled Services | 1420 West Third Street, Mt. Carmel, IL 62863 | 2007-07-06 |
1972649390 | David Ray Miller | Dentist | 325 East 13th Street, Mount Carmel, IL 62863 | 2007-01-30 |
1356406748 | Enrique V Bouffard IIi | Radiology | 326 West 3rd St, Mt Carmel, IL 62863 | 2006-12-26 |
1417028168 | General Baptist Nursing Home of Illinois | Skilled Nursing Facility | 1320 W. 9th Street, Mt. Carmel, IL 62863 | 2006-11-13 |
1316055130 | Richland Radiology Ltd | Clinic/Center | 326 W 3rd Street, Mount Carmel, IL 62863 | 2006-08-29 |
1588053243 | Amber Nickol | Counselor | 1001 N Market St, Mount Carmel, IL 62863 | 2015-01-20 |
Find all providers in zip 62863 |
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 |
---|---|---|---|---|
1245566637 | Cynthia R Lessen | Dietitian, Registered | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2009-10-20 |
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 |
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City | MOUNT CARMEL |
Zip Code | 62863 |
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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.