MS. JANET M BULLOCK (NPI# 1831483569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831483569 |
| Entity Type | Individual |
| Full Name | MS. JANET M BULLOCK |
| Credential | RD |
| Practice Address |
950 Matthew Dr Waynesboro MS 39367-2567 |
| Practice Telephone | 6017355151 |
| Practice Fax Number | 6017357168 |
| Mailing Telephone | 6017355151 |
| Mailing Fax Number | 6017357168 |
| Enumeration Date | 2011-05-28 |
| Last Update Date | 2011-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D1269 | MS | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | STATE LICENSE | D1269 | 01 |
| Street Address |
950 MATTHEW DR |
| City | WAYNESBORO |
| State | MS |
| Zip Code | 39367-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559983 | Wayne General Hospital | General Acute Care Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2005-12-19 |
| 1679952535 | Jordan B Ingram | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2590 | 2015-05-26 |
| 1659683266 | Douglas Hunt Blackledge | Anesthesiology | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2010-07-12 |
| 1023271723 | Wayne General Hospital | Respite Care | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2008-07-03 |
| 1366614901 | Wayne General Ambulance | Ambulance | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2008-03-24 |
| 1972728590 | Wayne General Hospital | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1093930638 | Wayne General Hospital | Nurse Anesthetist, Certified Registered | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1902021546 | Wayne General Hospsital | Internal Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1720203367 | Wayne General Hospital | Neuromusculoskeletal Medicine & OMM | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1669484655 | Brian K Williams | Family Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056541 | Helping Hand Home Care LLC | Respite Care | 822a Station St., Waynesboro, MS 39367 | 2017-07-19 |
| 1578914339 | Megan Cook | Specialist/Technologist | 44 D Hutto Drive, Waynesboro, MS 39367 | 2016-06-23 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1912181868 | Terry G Agent | Physical Therapist | 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 | 2007-12-27 |
| 1265631949 | Joseph Daniel Stringer Jr. | Dentist | 803 Mississippi Drive, Waynesboro, MS 39367 | 2007-07-13 |
| 1245313014 | Wal-mart Stores East, Lp | Technician/Technologist | 1350 Azalea Drive, Waynesboro, MS 39367 | 2006-10-23 |
| 1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
| 1396832150 | William Daniel Young | Specialist | 940 Matthew Dr Ste 7, Waynesboro, MS 39367 | 2006-10-05 |
| 1518076546 | Family Dental Center of Waynesboro, P.a. | Dentist | 500 Court Street, Waynesboro, MS 39367 | 2006-08-30 |
| 1780624510 | Bobbie Jean Cooksey | Nurse Practitioner | 920 Matthew Drive, Suite D, Waynesboro, MS 39367 | 2006-06-08 |
| Find all providers in zip 39367 | ||||
| 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 |
|---|---|---|---|---|
| 1922639046 | Anna Brashier | Dietitian, Registered | 410 White Oak St, Waynesboro, MS 39367-2546 | 2020-01-28 |
| 1043414295 | Kristeen Michelle Duren | Dietitian, Registered | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427780 | Ronald Dwayne Woods | Dietitian, Registered | 1 Ashton Gardens Dr, Jackson, MS 39211-4275 | 2020-11-02 |
| 1720690845 | Timmi Unger Bishop | Dietitian, Registered | 188 Bream Rd, Mantachie, MS 38855-8571 | 2020-08-19 |
| 1033734348 | Jaclyn Wehrle | Dietitian, Registered | 122 Virginia Dr, Hattiesburg, MS 39401-5832 | 2020-06-11 |
| 1447875893 | Jaden Nichole Tabat | Dietitian, Registered | 400 Shadow Creek Dr Unit 400, Oxford, MS 38655-6227 | 2020-06-11 |
| 1467080580 | Kimberly Marie Chapman | Dietitian, Registered | 312 Pine Ridge Pt, Petal, MS 39465-4241 | 2020-04-01 |
| 1437783420 | Sara E Foster | Dietitian, Registered | 36 Craft Rd, Petal, MS 39465-9335 | 2020-02-27 |
| 1821628967 | Joanne Alison Levanway | Dietitian, Registered | 13701 Hidden Oaks Dr, Gulfport, MS 39503-7025 | 2020-01-16 |
| 1629615489 | Lynne Victoria Longman | Dietitian, Registered | 2424 Weeping Willow Cir, Hattiesburg, MS 39402-6090 | 2019-11-28 |
| 1083250187 | Heather Ruthann Jenkins | Dietitian, Registered | 2646 Cherry Tree Dr, Southaven, MS 38672-8016 | 2019-11-23 |
| 1083255632 | Julie Pace | Dietitian, Registered | 406 S Front Street, Richton, MS 39476 | 2019-10-04 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 39367 |
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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.