ELLEN SURATT STANBACK (NPI# 1780768663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780768663 |
| Entity Type | Individual |
| Full Name | ELLEN SURATT STANBACK |
| Credential | RD,LD,CLC |
| Practice Address |
2277 Stone Mountain Lithonia Rd Lithonia GA 30058-5252 |
| Mailing Address |
3177 Kensington Rd Avondale Estates GA 30002-1457 |
| Practice Telephone | 7704842600 |
| Practice Fax Number | 7704843830 |
| Mailing Telephone | 4042991150 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD001907 | GA | Dietary & Nutritional Service Providers |
| Street Address |
2277 STONE MOUNTAIN LITHONIA RD |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568576395 | Rosemary C Popp | Dentist | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-08-18 |
| 1003167669 | Ayanna Tenay Harris | Licensed Practical Nurse | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2012-09-24 |
| 1851641005 | Pamela Odum Leonard | Registered Nurse | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2012-09-14 |
| 1326261751 | Carolyn Richardson-atubeh | Social Worker | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2007-04-11 |
| 1447395488 | Dekalb Community Service Board | Community/Behavioral Health | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2007-02-20 |
| 1235298548 | Sharon Denise Hicks | Registered Nurse | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-12-06 |
| 1316017882 | Joan Elaine Ellis-english | Licensed Practical Nurse | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-11-09 |
| 1588733844 | Donnette Porter | Registered Nurse | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-11-08 |
| 1316026644 | Catherine M Youngblood | Registered Nurse | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-11-06 |
| 1124107412 | Lisa J Wolfgang | Registered Nurse | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| 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 |
|---|---|---|---|---|
| 1235604273 | Akeena Kennette St. Martin | Dietitian, Registered | 840 Plumbridge Ct, Lithonia, GA 30058-9020 | 2018-10-05 |
| 1619386984 | Senior Meal Services, LLC | Dietitian, Registered | 4686 Browns Mill Ln, Lithonia, GA 30038-4673 | 2014-08-12 |
| 1952603623 | Angela C Jackson | Dietitian, Registered | 5408 Wellborn Creek Dr, Lithonia, GA 30058-3549 | 2010-12-01 |
| 1962738179 | Laurice Antoinette Howell-williams | Dietitian, Registered | 5927 Christopher Ln, Lithonia, GA 30058-5617 | 2009-10-22 |
| 1134359797 | Annie Elizabeth Gibson-boyd | Dietitian, Registered | 5407 W Saddle Gate Pl, Lithonia, GA 30038-3969 | 2009-07-16 |
| 1699708453 | Jacqueline D Lockett | Dietitian, Registered | 6066 Shadow Lake Way, Lithonia, GA 30058-3160 | 2006-07-07 |
| 1477187300 | Aks Nutrition, LLC. | Dietitian, Registered | 840 Plumbridge Ct, Lithonia, GA 30058-9020 | 2020-03-01 |
| 1134502198 | Ricia Taylor | Dietitian, Registered | 5440 Hillandale Dr, Lithonia, GA 30058-4865 | 2015-07-08 |
| 1437233442 | Marsha Darnell Canning | Dietitian, Registered | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-10-25 |
| 1306920327 | Julie Caralee Payne | Dietitian, Registered | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-10-25 |
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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.