MRS. BONITA NICOLE JAYNES (NPI# 1831447028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831447028 |
| Entity Type | Individual |
| Full Name | MRS. BONITA NICOLE JAYNES |
| Credential | M.S., R.D. |
| Practice Address |
117 South 11th Avenue Laurel MS 39440-4312 |
| Mailing Address |
P.o. Box 4361 Laurel MS 39441-4361 |
| Practice Telephone | 6014253033 |
| Practice Fax Number | 6014220431 |
| Mailing Telephone | 6014253033 |
| Mailing Fax Number | 6014220431 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1067839 | MS | Dietary & Nutritional Service Providers |
| Street Address |
117 SOUTH 11TH AVENUE |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539017 | Bernard G. De Asis | Legal Medicine | 117 South 11th Avenue, Laurel, MS 39440 | 2005-06-27 |
| 1891925616 | Coleman Henley Jr. | Internal Medicine | 117 South 11th Avenue, Laurel, MS 39440-2914 | 2009-07-15 |
| 1518159391 | Burgese Keki Turel | Clinic/Center | 117 South 11th Avenue, Laurel, MS 39440 | 2007-08-15 |
| 1760488357 | Family Health Center, Inc | Clinic/Center | 117 South 11th Avenue, Laurel, MS 39441-4361 | 2005-06-28 |
| 1982600730 | Sudhir Narayan Pujari | Pediatrics | 117 South 11th Avenue, Laurel, MS 39440 | 2005-06-27 |
| 1831195593 | Ronald A. Henry | Pharmacist | 117 South 11th Avenue, Laurel, MS 39440-4312 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| 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 |
|---|---|---|---|---|
| 1285119834 | Avanelle Candace Thomas | Dietitian, Registered | 8411 Montpelier Dr, Laurel, MD 20708-2305 | 2018-09-30 |
| 1619331386 | Katherine Michalski | Dietitian, Registered | 601 Laurel Ave, Laurel, MD 20707-4019 | 2016-04-08 |
| 1124411129 | Ozodimma Nwankwo | Dietitian, Registered | 15712 Dorset Rd Apt T2, Laurel, MD 20707-5349 | 2015-03-15 |
| 1922490218 | Ekere Ekandem Olojola | Dietitian, Registered | 15609 Millbrook Ln, Laurel, MD 20707-3317 | 2015-02-24 |
| 1972626596 | Tracy Lynn Konoske | Dietitian, Registered | 71 Bus Ln, Laurel, MT 59044-9214 | 2007-04-09 |
| 1831195536 | Gayla B. Glenn | Dietitian, Registered | 117 S 11th Ave, Laurel, MS 39440-4312 | 2005-06-27 |
| 1124597349 | Susan Testa | Dietitian, Registered | 7750 Montpelier Rd, Laurel, MD 20723-6010 | 2018-11-16 |
| 1689065450 | Amber Chenell Summers | Dietitian, Registered | 647 Main St, Apt. B, Laurel, MD 20707-4066 | 2015-02-14 |
| 1225334170 | Martha Laurie Watts | Dietitian, Registered | 117 S 11th Ave, Laurel, MS 39440-4312 | 2011-02-09 |
| 1033306550 | Janice Kay Murphy | Dietitian, Registered | 14205 Park Center Dr, Suite 202, Laurel, MD 20707-5246 | 2007-09-28 |
| Find all providers in LAUREL | ||||
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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.