ALICIA JENNERJOHN (NPI# 1780073320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780073320 |
| Entity Type | Individual |
| Full Name | ALICIA JENNERJOHN |
| Practice Address |
3416 N Association Dr Appleton WI 54914-1479 |
| Practice Telephone | 9202431792 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1087448 | WI | Dietary & Nutritional Service Providers |
| Street Address |
3416 N ASSOCIATION DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483831 | Mercade Lea Pazdra | Dietitian, Registered | 3416 N Association Dr, Appleton, WI 54914-1479 | 2019-08-19 |
| 1841859600 | Amanda Radtke | Counselor | 3416 N Association Dr, Appleton, WI 54914-1479 | 2019-06-06 |
| 1831664994 | Lori J Deering | Dietitian, Registered | 3416 N Association Dr, Appleton, WI 54914-1479 | 2018-10-04 |
| 1427558279 | Emily Ann Gaber | Counselor | 3416 N Association Dr, Appleton, WI 54914-1479 | 2018-02-19 |
| 1386186914 | Nichole Lynn Baumgartner | Counselor | 3416 N Association Dr, Appleton, WI 54914-1479 | 2016-11-14 |
| 1487015152 | Shawna Doriot | Counselor | 3416 N Association Dr, Appleton, WI 54914-1479 | 2016-03-09 |
| 1659731073 | Saris Counseling | Counselor | 3416 N Association Dr, Appleton, WI 54914-1479 | 2016-02-26 |
| 1558736884 | Saris Counseling | Counselor | 3416 N Association Dr, Appleton, WI 54914-1479 | 2015-12-11 |
| 1376912402 | Sara Wiebel | Dietitian, Registered | 3416 N Association Dr, Appleton, WI 54914-1479 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| 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 |
|---|---|---|---|---|
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1528557345 | Diane Kathryn Schuh | Dietitian, Registered | 1602 N Meade St, Appleton, WI 54911-3770 | 2018-05-07 |
| 1689719148 | Nikki Lynn Ott | Dietitian, Registered | 2701 N Oneida St Ste E, Appleton, WI 54911-2082 | 2007-02-21 |
| 1982623534 | John H Bradley Deptartment of Veterans Affairs Outpatient Clinic | Dietitian, Registered | 10 Tri-parkway, Appleton, WI 54914 | 2006-07-18 |
| 1790309755 | Lane Baumbach | Dietitian, Registered | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-04 |
| 1366080590 | Tiffany Ramsey | Dietitian, Registered | 10 Tri Park Way, Appleton, WI 54914-1658 | 2019-12-18 |
| 1811546815 | Nutrimental Healthcare LLC | Dietitian, Registered | 4321 W College Ave Ste 200, Appleton, WI 54914-3968 | 2019-09-11 |
| 1205483831 | Mercade Lea Pazdra | Dietitian, Registered | 3416 N Association Dr, Appleton, WI 54914-1479 | 2019-08-19 |
| 1447814108 | Amy L O'connell | Dietitian, Registered | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-04-29 |
| 1952872335 | Natalie Hartjes | Dietitian, Registered | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2018-12-11 |
| Find all providers in APPLETON | ||||
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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.