MS. KAREN L VIDAL (NPI# 1780867549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780867549 |
Entity Type | Individual |
Full Name | MS. KAREN L VIDAL |
Credential | M.S., R.D. |
Practice Address |
6350 Lake Oconee Pkwy Suite 102, Pmb 89 Greensboro GA 30642-6433 |
Practice Telephone | 7064851298 |
Mailing Telephone | 7064851298 |
Enumeration Date | 2007-12-14 |
Last Update Date | 2014-01-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | LD001664 | GA | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477599124 | Karen L. Vidal | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2006-06-21 |
Street Address |
6350 LAKE OCONEE PKWY SUITE 102, PMB 89 |
City | GREENSBORO |
State | GA |
Zip Code | 30642-6433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912505710 | Dominique Jones | Pharmacist | 6350 Lake Oconee Pkwy, Greensboro, GA 30642-6433 | 2020-10-14 |
1811234610 | Tressa Pause White | Pharmacist | 6350 Lake Oconee Pkwy, Greensboro, GA 30642-6433 | 2013-01-14 |
1437301454 | Amy Morris | Pharmacist | 6350 Lake Oconee Pkwy, Greensboro, GA 30642-6433 | 2008-10-22 |
1861643645 | Joy Hovey Madison | Family Medicine | 6350 Lake Oconee Pkwy, Ste 102 Box 175, Greensboro, GA 30642-6433 | 2008-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
Find all providers in zip 30642 |
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 |
---|---|---|---|---|
1184221665 | Jennifer M Ritchie | Dietitian, Registered | 4306 Kimmeridge Rd, Greensboro, NC 27406-9303 | 2020-10-07 |
1952928137 | Amberley Rebecca Rose Fernando | Dietitian, Registered | 1811 Opal Dr, Greensboro, NC 27403-3732 | 2020-07-03 |
1295352896 | Jovanna Orozco | Dietitian, Registered | 1708 Walker Ave Apt B, Greensboro, NC 27403-2992 | 2020-06-29 |
1912539792 | Reem Montaser Saed | Dietitian, Registered | 3646 Mcconnell Rd Apt 2h, Greensboro, NC 27405-9673 | 2020-02-10 |
1417591462 | Sheri Rae Vettel | Dietitian, Registered | 1608 Walker Ave, Greensboro, NC 27403-2319 | 2019-11-03 |
1558916908 | Rima Kleiner | Dietitian, Registered | 1108 Grecade St Ste 205, Greensboro, NC 27408-8732 | 2019-08-02 |
1386208361 | Martha Higgins | Dietitian, Registered | 1201 Mcdowell Dr, Greensboro, NC 27408-5214 | 2019-04-25 |
1699263939 | Donetta Floyd | Dietitian, Registered | 301 E Wendover Ave Ste 415, Greensboro, NC 27401-1211 | 2018-04-23 |
1821503517 | Mona Diane Bostick | Dietitian, Registered | 301 S Elm St Ste 801, Greensboro, NC 27401-2680 | 2017-12-05 |
1679086565 | Elisa A Smith | Dietitian, Registered | 229 N Greene St, Greensboro, NC 27401-2410 | 2017-11-14 |
Find all providers in GREENSBORO |
City | GREENSBORO |
Zip Code | 30642 |
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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.