DELORES ANN GRANNON


Address: 4101 South 4th St Trafficway, Leavenworth, KS 66048
Phone: 9136822000

DELORES ANN GRANNON (NPI# 1790902740) 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) 1790902740
Entity Type Individual
Full Name DELORES ANN GRANNON
Credential MS, RD, CSP, LD
Practice Address 4101 South 4th St Trafficway
Leavenworth
KS 66048
Mailing Address 500 Pawnee St
Leavenworth
KS 66048-1446
Practice Telephone 9136822000
Mailing Telephone 9138284980
Enumeration Date 2007-04-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DT 05446 TX Dietary & Nutritional Service Providers

Office Location

Street Address 4101 SOUTH 4TH ST TRAFFICWAY
City LEAVENWORTH
State KS
Zip Code 66048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558380386 Jafar Amini Radiology 4101 South 4th St Trafficway, Leavenworth, KS 66048 2006-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023653854 Dawn Rishelle Hudson Registered Nurse 711 Marshall St., Leavenworth, KS 66048 2019-11-15
1427606706 Nathan A Laskowski Dentist 3507 S 4th St. Trafficway, Leavenworth, KS 66048 2019-08-29
1386100220 Aligned Health Chiropractic, LLC Chiropractor 402 Delware Street, Leavenworth, KS 66048 2019-02-15
1255805917 Jordan Rachelle Kloepper Chiropractor 402 Delaware Street, Leavenworth, KS 66048 2019-01-16
1851862270 Sarah Jane Wallace Nurse Practitioner Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 2018-12-11
1194222034 Christie Ann Nelson Psychologist 4101 4th Street Trafficway, Leavenworth, KS 66048 2018-04-08
1558865782 Sunflower Counseling Center LLC Clinic/Center 205 S 5th St Ste 15, Leavenworth, KS 66048 2018-03-21
1578062824 Insoon G Hoagland Marriage & Family Therapist 205 S 5th St Ste 20, Leavenworth, KS 66048 2018-02-01
1467804542 Raechel Marie Mackey Nurse Practitioner 4101 S 4th St Bldg 160, Leavenworth, KS 66048 2016-07-12
1073969598 Kristen Simpson Chiropractor 211-b Delaware Street, Leavenworth, KS 66048 2016-05-13
Find all providers in zip 66048

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
1629506662 Olivia Ann Nichols Dietitian, Registered 711 Marshall St, Leavenworth, KS 66048-3235 2017-06-02
1356873574 Katelin Grace Toevs Dietitian, Registered 817 Commercial St, Leavenworth, WA 98826-1316 2017-03-28
1740693282 Leah Marie Thome Dietitian, Registered 4101 S 4th St, Leavenworth, KS 66048-5014 2014-06-03
1962751990 Laura H Kostner Dietitian, Registered 4101 S 4th St, Leavenworth, KS 66048-5014 2012-09-06
1346479581 Cushing Memorial Hospital Corporation Dietitian, Registered 711 Marshall St, Leavenworth, KS 66048-3235 2009-07-09
1477799906 Nicole Steinlage Dietitian, Registered 4101 S 4th St, Leavenworth, KS 66048-5014 2009-01-06
1154504975 Linda L. Hartman Dietitian, Registered 817 Commercial St, Leavenworth, WA 98826-1316 2007-12-14
1508939117 Jana Borgmeyer Dietitian, Registered 4101 S 4th St, L-120, Leavenworth, KS 66048-5014 2006-11-15
1801810742 Laura Lee Harwood Dietitian, Registered 4101 S 4th St, Leavenworth, KS 66048-5014 2006-07-26
1508887498 Joyce L Caratura Dietitian, Registered 4101 S 4th St, Leavenworth, KS 66048-5014 2006-07-23
Find all providers in LEAVENWORTH

Competitor

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City LEAVENWORTH
Zip Code 66048

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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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