MR. ADAM MICHAEL WOODYARD


Address: 7601 Southcrest Pkwy, Southaven, MS 38671-4739
Phone: 6627723199

MR. ADAM MICHAEL WOODYARD (NPI# 1851696520) 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) 1851696520
Entity Type Individual
Full Name MR. ADAM MICHAEL WOODYARD
Credential RD, LD
Practice Address 7601 Southcrest Pkwy
Southaven
MS 38671-4739
Practice Telephone 6627723199
Practice Fax Number 6627723197
Mailing Telephone 6627723199
Mailing Fax Number 6627723197
Enumeration Date 2011-01-11
Last Update Date 2011-01-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered D1434 MS Dietary & Nutritional Service Providers

Other Providers ADAM WOODYARD

NPI Name Taxonomy Address Enumeration
1063972198 Adam Joseph Woodyard Student in an Organized Health Care Education/Training Program 55 Arch St Ste 1b, Akron, OH 44304-1436 2019-03-24

Office Location

Street Address 7601 SOUTHCREST PKWY
City SOUTHAVEN
State MS
Zip Code 38671-4739

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285637090 Cunningham Physical Medicine Physical Medicine & Rehabilitation 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2005-05-24
1598395501 Raymond Bennett Caldwell Iv Physician Assistant 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2020-01-17
1245871847 Tammy Q Reed Nurse Practitioner 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2019-10-04
1871078436 Catherine R Stepter Nurse Practitioner 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-09-30
1669955423 Tannisha Monique Loggins Nurse Practitioner 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-09-07
1982185609 Gloria S. Hicks Nurse Anesthetist, Certified Registered 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-08-22
1326531229 John Walker Registered Nurse 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-06-14
1750871299 Alejandro Polania Physician Assistant 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-05-10
1528558061 Deera Warren Nurse Practitioner 7601 Southcrest Pkwy, Southaven, MS 38671 2018-05-10
1871083386 Kenneth A Krzyzkowski Nurse Practitioner 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-05-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285196196 Emma Tinsley-bowles Long Social Worker 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 2019-04-01
1851847586 Tiffany Lashea Jones Adult Companion 8755 Millbranch Road, Southaven, MS 38671 2016-09-01
1538526140 Desoto Pediatric Extended Care LLC Skilled Nursing Facility 750 Stateline Road East, Southhaven, MS 38671 2016-01-27
1073983052 Tara Burt Physical Therapist 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 2015-10-02
1295160463 Ideal Community Care,llc In Home Supportive Care 8869 Centre Str #3, Southaven, MS 38671 2013-09-06
1578995692 Gregory Charles Eakins Jr. Optometrist 338 Goodman Rd West, Southaven, MS 38671 2013-07-31
1295173169 Erica R. Martin Social Worker 975 Swinnea Rdg Ste 3, Southaven, MS 38671 2013-06-12
1386918431 Freds Stores of Tennessee Inc Pharmacy 710 Church Road, Southaven, MS 38671 2012-03-06
1740565613 Mary Jeanette Scruggs Pharmacist 1011 Goodman Rd, Southaven, MS 38671 2011-10-11
1184919268 First Pharmacy Services 5 Pharmacy 5185a Getwell Rd, Southaven, MS 38671 2011-06-16
Find all providers in zip 38671

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
1083250187 Heather Ruthann Jenkins Dietitian, Registered 2646 Cherry Tree Dr, Southaven, MS 38672-8016 2019-11-23
1699188037 Tracy Leigh Williamson Dietitian, Registered 6856 Cobblestone Blvd, Southaven, MS 38672-9311 2014-06-03
1083025944 John Michael Dudley Dietitian, Registered 6856 Cobblestone Blvd, Southaven, MS 38672-9311 2014-05-14
1255758504 Shirley T Davis Dietitian, Registered 6856 Cobblestone Blvd, Southaven, MS 38672-9311 2014-03-25
1609297779 Pinnacle Medical Solutions, LLC Dietitian, Registered 6856 Cobblestone Blvd, Southaven, MS 38672-9311 2013-12-17
1720385974 Valerie Layne Dietitian, Registered 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2011-02-24
1386941540 Emily Kesler Schwartz Dietitian, Registered 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2011-02-23
1629373279 Ashley R Robins Dietitian, Registered 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2011-01-12
1518268705 Lexann Pate Bursi Dietitian, Registered 9215 Millbranch Rd, Southaven, MS 38671-1423 2010-11-04
1922336387 Judy Galloway Dietitian, Registered 7601 Southcrest Parkway, Baptist Memorial Hospital Desoto, Southaven, MS 38671 2009-11-24
Find all providers in SOUTHAVEN

Competitor

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City SOUTHAVEN
Zip Code 38671

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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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