SUSAN MARIE EDGERLY (NPI# 1861563579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861563579 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE EDGERLY |
| Other Name | SUSAN MARIE HOLLAND |
| Credential | R.D., C.D. |
| Practice Address |
800 W 5th Ave Spokane WA 99210-0248 |
| Mailing Address |
Po Box 842151 Dallas TX 75284-2151 |
| Practice Telephone | 5094732272 |
| Practice Fax Number | 5094734916 |
| Mailing Telephone | 5094585800 |
| Mailing Fax Number | 5094734916 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI00001556 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8496721 | 05 |
| Street Address |
800 W 5TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99210-0248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385175 | James William Greenawalt IIi | Anesthesiology | 800 W 5th Ave, Spokane, WA 99204 | 2005-06-13 |
| 1912564055 | Spokane Emergency Care Physicians Pllc | Emergency Medicine | 800 W 5th Ave, Spokane, WA 99204-2803 | 2019-05-23 |
| 1023671013 | Neal Andrew Pickering | Nurse Practitioner | 800 W 5th Ave, Spokane, WA 99204-2803 | 2019-04-16 |
| 1114487949 | Randy Gordon Scott Fleming | Nurse Anesthetist, Certified Registered | 800 W 5th Ave, Spokane, WA 99204 | 2019-03-19 |
| 1710460498 | Joel Aiken | Physician Assistant | 800 W 5th Ave, Spokane, WA 99204 | 2018-09-10 |
| 1891278677 | Kalie Grambeau | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2018-09-07 |
| 1396237608 | Liberty Hanisch | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2018-06-01 |
| 1417449810 | Brian Carroll | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2018-05-31 |
| 1356852164 | Timothy Neal Cornwall | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204 | 2017-10-19 |
| 1275042251 | Brian Wilson | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204 | 2017-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982118394 | Dawn Marie Depriest | Nurse Practitioner | 600 N. Riverfront Blvd, Esfcom, Spokane, WA 99210 | 2017-11-21 |
| 1760641021 | Spokane Hyperbaric and Wound Care Consultants Ps | General Practice | West 800 Fifth Ave, Deaconess Medical Center, Spokane, WA 99210 | 2008-06-03 |
| 1144552704 | Northwest Pacific Emergency Physicians LLP | Emergency Medicine | 800 West Fifth Avenue, Spokane, WA 99210-0248 | 2010-02-08 |
| 1528571130 | Brendan Gordon Tennefoss | Registered Nurse | 904 W Riverside Ave Unit 1107, Spokane, WA 99210-0329 | 2017-11-06 |
| 1457958530 | Metta Wellness Nw Pllc | Clinic/Center | 904 W Riverside Ave Unit 1107, Spokane, WA 99210-0329 | 2020-10-02 |
| 1649482654 | Judith L Engel | Dietitian, Registered | Shriners Hospital for Children Spokane, 911 W 5th Avenue, Spokane, WA 99210-2472 | 2007-05-03 |
| 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 |
|---|---|---|---|---|
| 1306445150 | Healthy Bodies Nutrition | Dietitian, Registered | 12808 E Apache Pass Rd, Spokane, WA 99206-9309 | 2020-10-22 |
| 1558979369 | Rooted Nutrition Counseling | Dietitian, Registered | 1516 W Riverside Ave Ste 205, Spokane, WA 99201-1241 | 2020-07-17 |
| 1104457282 | Christine Marie Lowman | Dietitian, Registered | 910 W 5th Ave Ste 650, Spokane, WA 99204-2967 | 2020-01-28 |
| 1851939136 | Gloria Jean Treis | Dietitian, Registered | 4815 N Assembly St # Ms 120, Spokane, WA 99205-6197 | 2019-12-17 |
| 1639717226 | Rachel Alexandria Traylor | Dietitian, Registered | 1403 W 3rd Ave, Spokane, WA 99201-7023 | 2019-12-15 |
| 1992346514 | Amy Yeoman | Dietitian, Registered | 711 N Helena St Ste C, Spokane, WA 99202-2826 | 2019-10-04 |
| 1790254969 | Riley Allen Mccorkle | Dietitian, Registered | 101 W 8th Ave Ste 1100, Spokane, WA 99204-2307 | 2018-11-17 |
| 1942791850 | Margaret Eleacia Walser | Dietitian, Registered | 728 S Monroe St Apt 3, Spokane, WA 99204-3019 | 2018-05-25 |
| 1891283560 | Mikaela Carrillo | Dietitian, Registered | 2020 E 29th Ave Ste 210, Spokane, WA 99203-3950 | 2018-04-27 |
| 1629565759 | Rachel Robinson | Dietitian, Registered | 1212 N Washington St Ste 213, Spokane, WA 99201-2401 | 2018-04-14 |
| Find all providers in SPOKANE | ||||
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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.