TAMMY ELVA GRAYUM (NPI# 1730368671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730368671 |
| Entity Type | Individual |
| Full Name | TAMMY ELVA GRAYUM |
| Credential | RD, LD |
| Practice Address |
14171 State Road Tt Festus MO 63028-4819 |
| Practice Telephone | 5735135380 |
| Mailing Telephone | 5735135380 |
| Enumeration Date | 2007-10-28 |
| Last Update Date | 2007-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
2004024027 | MO | Dietary & Nutritional Service Providers |
| Street Address |
14171 STATE ROAD TT |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| 1881133270 | Dawn Marie Brouk | Dietitian, Registered | 16105 Elkton Ct, Chesterfield, MO 63005-6901 | 2017-02-17 |
| 1780950840 | Jessica Leigh Stafford | Dietitian, Registered | 3412 Daybreak Ln, Saint Charles, MO 63303-1942 | 2012-03-22 |
| 1194011726 | Tomoko Okada | Dietitian, Registered | 1451 Ridgetree Trails Dr, Wildwood, MO 63021-5944 | 2011-06-22 |
| 1902428022 | Marilyn Kaye Tanner-blasiar | Dietitian, Registered | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2020-05-12 |
| 1205395720 | Laurie Ann Sax | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-03-14 |
| 1285107821 | Jade Leanna Caldwell | Dietitian, Registered | 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 | 2019-01-07 |
| 1801333018 | Elizabeth Rose Toolan | Dietitian, Registered | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-25 |
| 1346622354 | Jordan D. Mize | Dietitian, Registered | 100 Mercy Way, Ste 580, Joplin, MO 64804-4524 | 2015-06-25 |
| 1326313909 | Nancy Keetch | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake Saint Louis, MO 63367-1366 | 2012-03-15 |
| 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.