TAMMY JEAN BREWER-SORENDO (NPI# 1780056911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780056911 |
Entity Type | Individual |
Full Name | TAMMY JEAN BREWER-SORENDO |
Credential | RD, LDN |
Practice Address |
1961 Burgoyne Ct Winston Salem NC 27107-3566 |
Practice Telephone | 3367081645 |
Mailing Telephone | 3367081645 |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133V00000X | Dietitian, Registered | 848513 | NC | Dietary & Nutritional Service Providers |
Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
848513 | NC | Dietary & Nutritional Service Providers |
Street Address |
1961 BURGOYNE CT |
City | WINSTON SALEM |
State | NC |
Zip Code | 27107-3566 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
1629212501 | Benicia Elaine Cleveland | Specialist/Technologist | 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 | 2009-04-23 |
1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
1336242973 | North Carolina Cvs Pharmacy LLC | Pharmacy | 10478 N Nc Hwy 109, Wallburg, NC 27107 | 2006-09-07 |
1154816312 | Janel Rebecca Durham | Nurse Practitioner | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107 | 2018-06-28 |
1861929523 | Southside United Health Centers | Social Worker | 3009 Waughtown St, Winston Salem, NC 27107 | 2017-05-12 |
1407011398 | Ashley Rose Hill | Nurse Practitioner | 648 East Monmouth Street, Winston Salem, NC 27107 | 2008-07-21 |
1518157247 | Ellen R. Robinson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2007-07-30 |
Find all providers in zip 27107 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457993149 | Elizabeth Allred | Dietitian, Registered | 315 Kimberly Rd, Davidson, NC 28036-8554 | 2019-10-14 |
1407300312 | Linda Gross | Dietitian, Registered | 4917 Golfview Ct, Mint Hill, NC 28227-9238 | 2016-08-09 |
1619325529 | Laurie Reiriz | Dietitian, Registered | 2823 Westfield Rd, Charlotte, NC 28209-1641 | 2016-06-01 |
1114391018 | Janet Williams | Dietitian, Registered | 8081 Arco Corporate Dr Ste 130, Va Dialysis Clinic At Brier Creek, Raleigh, NC 27617-2042 | 2015-11-17 |
1932440807 | Holly J Rode | Dietitian, Registered | 200 Jamestown Oaks Dr, Jamestown, NC 27282-8933 | 2013-03-02 |
1003111279 | Naomi Stuart | Dietitian, Registered | 1507 Hammersmith Dr, Winterville, NC 28590-7061 | 2011-01-20 |
1154509552 | Amanda Williams Robertson | Dietitian, Registered | 1404 4th St Nw, Hickory, NC 28601-2446 | 2008-02-07 |
1023200193 | Marsha C. Lilly | Dietitian, Registered | 2101 Rangecrest Rd, Raleigh, NC 27612-6922 | 2007-08-13 |
1629386578 | Margaret Harum | Dietitian, Registered | 2113 Neuse Blvd, New Bern, NC 28560-4309 | 2010-09-14 |
1376602391 | Deborah B Berg | Dietitian, Registered | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-12-06 |
Find all providers with the same taxonomy |
City | WINSTON SALEM |
Zip Code | 27107 |
Please comment or provide details below to improve the information on TAMMY JEAN BREWER-SORENDO.
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.