MILDRED LINCOLN (NPI# 1780899203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780899203 |
| Entity Type | Individual |
| Full Name | MILDRED LINCOLN |
| Credential | RD |
| Practice Address |
516 East Nizhoni Blvd Gallup NM 87301 |
| Mailing Address |
Po Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221282 |
| Practice Fax Number | 5057221525 |
| Mailing Telephone | 5057221282 |
| Mailing Fax Number | 5057221525 |
| Enumeration Date | 2007-05-10 |
| 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 | LD-0658 | NM | Dietary & Nutritional Service Providers |
| Street Address |
516 EAST NIZHONI BLVD |
| City | GALLUP |
| State | NM |
| Zip Code | 87301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518954999 | Mayumi Otsuka | Pediatrics | 516 East Nizhoni Blvd, Gallup, NM 87301-1337 | 2005-09-30 |
| 1811419294 | Kristen Bekker | Registered Nurse | 516 East Nizhoni Blvd, Gallup, NM 87301 | 2017-07-07 |
| 1770013351 | Andrea Dee Cauley | Registered Nurse | 516 East Nizhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1154603959 | Bo Tran | Dentist | 516 East Nizhoni Blvd, Gallup, NM 87301 | 2011-09-16 |
| 1669797338 | Isaac Short | Occupational Therapist | 516 East Nizhoni Blvd, Gallup, NM 87301-1337 | 2010-04-06 |
| 1750604120 | Karen Sue Severns | Social Worker | 516 East Nizhoni Blvd, Gallup, NM 87301 | 2010-03-12 |
| 1801123559 | Vickie Becenti | Dental Assistant | 516 East Nizhoni Blvd, Gallup, NM 87301-1337 | 2009-11-17 |
| 1861629339 | Deborah Polk | Registered Nurse | 516 East Nizhoni Blvd, Gallup, NM 87301 | 2009-06-11 |
| 1801080718 | Verna Gaddy | Registered Nurse | 516 East Nizhoni Blvd, Gallup, NM 87301-1337 | 2007-09-04 |
| 1649479874 | Maricruz Merino | Internal Medicine | 516 East Nizhoni Blvd, Gallup, NM 87301-1337 | 2007-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| 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 |
|---|---|---|---|---|
| 1972117661 | Jose Luis Guzman Jr. | Dietitian, Registered | 947 Cerrito Dr Apt A, Gallup, NM 87301-5421 | 2020-09-01 |
| 1205958733 | Sonja R Baca | Dietitian, Registered | 1910 Redrock Dr, Gallup, NM 87301-5682 | 2007-04-04 |
| 1629689989 | Whitney Black | Dietitian, Registered | 725 Hospital Dr, Gallup, NM 87301-5611 | 2020-08-11 |
| 1245871904 | Sean David Myer | Dietitian, Registered | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2019-10-03 |
| 1538635610 | Scott Paden | Dietitian, Registered | 2111 College Dr, Gallup, NM 87301-5600 | 2018-10-16 |
| 1710476171 | Kathleen Suzanne Sanders | Dietitian, Registered | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-05-01 |
| 1780123935 | Daisy Arsenault | Dietitian, Registered | 2111 College Dr, Gallup, NM 87301-5600 | 2017-02-21 |
| 1427222587 | Alvera Jean Enote | Dietitian, Registered | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-04-18 |
| 1154547115 | Susan Roberta Warren | Dietitian, Registered | 516 E. Nizhoni Blvd., Gallup, NM 87301-5748 | 2007-04-18 |
| 1922139369 | Claire Lyn Banks | Dietitian, Registered | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2007-03-08 |
| Find all providers in GALLUP | ||||
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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.