CALA ELKINS DITTMER (NPI# 1881944213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881944213 |
| Entity Type | Individual |
| Full Name | CALA ELKINS DITTMER |
| Other Name | CALA LYNN ELKINS |
| Credential | RD |
| Practice Address |
1825 Martha Berry Blvd Nw Rome GA 30165-1625 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7063788189 |
| Practice Fax Number | 7062388037 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD003776 | GA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003128800E | 05 | |
| GA | 003128800A | 05 | |
| GA | 003128800B | 05 |
| Street Address |
1825 MARTHA BERRY BLVD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104924 | Natasha Amanda Sands | Family Medicine | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2005-06-16 |
| 1922605401 | Lauryn Goss Vines | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-10-07 |
| 1508479536 | Emily Adams Thornberry | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-08-28 |
| 1831738368 | Lori Patricia Bain | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-01-01 |
| 1225670532 | Caleb Elisha Etheridge | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-10-09 |
| 1306498118 | Allison Heidi Pledger | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-07-11 |
| 1396301180 | Julie Goulding Shrewsbury | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-05-16 |
| 1346725264 | Lacy Holland Lacey | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2018-09-26 |
| 1215439286 | Swaraj Suhas Hublikar | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2018-03-06 |
| 1245740828 | Ashley Marie Gaulin | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2017-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1215563275 | Cheyenne Leilani Parris | Dietitian, Registered | 12 Woods Rd Nw Apt 4b, Rome, GA 30165-7884 | 2020-03-20 |
| 1023674017 | Amber Jones | Dietitian, Registered | 6151 Lorena Rd, Rome, NY 13440-7538 | 2019-05-15 |
| 1568946689 | Karen Lynne Reeves | Dietitian, Registered | 1 Jackson Hill Dr Ne, Rome, GA 30161-5205 | 2018-09-25 |
| 1760959175 | Northwest Georgia Regional Commission Area Agency | Dietitian, Registered | 1 Jackson Hill Dr Ne, Rome, GA 30161-5205 | 2018-10-24 |
| 1174906671 | Andrea Elena Lee | Dietitian, Registered | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2015-07-01 |
| 1336412402 | Javier Eduardo Azcarate | Dietitian, Registered | 172 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2012-02-20 |
| 1205128279 | Carla Desiree Cox | Dietitian, Registered | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2011-05-10 |
| 1982996955 | Sudie Jane Gordy | Dietitian, Registered | 304 Turner Mccall Blvd, Rome, GA 30165 | 2011-05-10 |
| 1285926253 | Janet Mytrice Childre | Dietitian, Registered | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2011-05-10 |
| 1356491104 | Mary Elizabeth Whelan | Dietitian, Registered | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2007-01-12 |
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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.