JENNIE TILL


Address: 5016 W 4th Ave, Stillwater, OK 74074-6956
Phone: 5804910720

JENNIE TILL (NPI# 1790271948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790271948
Entity Type Individual
Full Name JENNIE TILL
Credential RD/LD
Practice Address 5016 W 4th Ave
Stillwater
OK 74074-6956
Practice Telephone 5804910720
Mailing Telephone 5804910720
Enumeration Date 2018-07-10
Last Update Date 2018-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 2294 OK Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 1750716767 05

Office Location

Street Address 5016 W 4TH AVE
City STILLWATER
State OK
Zip Code 74074-6956

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366090680 Jason K. White, Ph.d., LLC Psychologist 807 S. Pine St., Stillwater, OK 74074 2019-08-29
1366095861 Kelsey Lyn Bigheart Peer Specialist 5421 S Deer Trail, Stillwater, OK 74074 2019-07-23
1881256691 Shelly Lynn Green Nurse Practitioner 1321 W. 7th Street, Stillwater, OK 74074 2019-07-01
1811426273 Judy Catlett Case Manager/Care Coordinator 800 E. 6th Str, Stillwater, OK 74074 2017-06-08
1518322296 Abi Physical Therapy Services Physical Therapist 810 S. Walnut Street, Stillwater, OK 74074 2015-12-22
1366833451 Connecting The Pieces Case Management 812 S Walnut, Stillwater, OK 74074 2015-02-10
1790122414 Airie Flanagan Doula 2601 Gregory Ln, Stillwater, OK 74074 2013-06-04
1760720668 Stillwater Histology LLC Internal Medicine 1301 W. 6th St, Suite 106, Stillwater, OK 74074 2013-01-28
1144570565 Nikkie Jo Dunnigan Counselor 2322 W 7th, Stillwater, OK 74074 2012-09-13
1487889952 Lynn B. Roberts General Practice 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 2009-05-27
Find all providers in zip 74074

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912506411 Candance Elaine Gabel Dietitian, Registered 220 S 2nd Ct, Stillwater, OK 74074-6732 2020-10-26
1447875471 Nicholas A Koemel Dietitian, Registered 3724 W 32nd Ave, Stillwater, OK 74074-1724 2020-06-16
1942855259 Jill Ann Moore Dietitian, Registered 904 E Krayler Ave, Stillwater, OK 74075-2918 2019-08-04
1285929265 Healtheast Medical Research Institute Dietitian, Registered 2900 Curve Crest Blvd, Stillwater, MN 55082 2011-06-17
1093984882 Laura Bisek Dietitian, Registered 621 Willard St W, Stillwater, MN 55082-5657 2008-02-26
1497966543 Lydia Michael Camp Dietitian, Registered 5506 W 7th Ave, Stillwater, OK 74074-1124 2007-05-24
1629197678 Melissa Sue Cox Dietitian, Registered 4700 West Mcelroy, Stillwater, OK 74075 2007-03-29
1164515979 Kari Elizabeth Galliart Dietitian, Registered 4109 W Pheasant Rdg, Stillwater, OK 74074-5034 2006-10-02
1144204660 Rosemary Lynn Yurczyk Dietitian, Registered 2220 W 7th Ave, Stillwater, OK 74074-4105 2005-11-30
1144868688 Megan Kelly Dietitian, Registered 1323 W 6th Ave, Stillwater, OK 74074-4306 2019-12-16
Find all providers in STILLWATER

Competitor

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City STILLWATER
Zip Code 74074

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Dataset Information

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.

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