RENEE ELLIS (NPI# 1932726718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932726718 |
| Entity Type | Individual |
| Full Name | RENEE ELLIS |
| Credential | MS, RDN, LD |
| Practice Address |
818 E Broadway St Sparta IL 62286-1820 |
| Mailing Address |
11945 Shaded Ln Sainte Genevieve MO 63670-8669 |
| Practice Telephone | 6184432177 |
| Mailing Telephone | 4178612785 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2008000217 | MO | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083867436 | Renee T. Ellis | Mechanotherapist | 13038 26th Ave S, Seatac, WA 98168-3014 | 2008-10-29 |
| 1134391733 | Renee Ann Ellis | Internal Medicine | 121 Park Central Drive Suite 200, Columbia Nephrology, Columbia, SC 29203 | 2008-03-24 |
| 1508267949 | Renee M Ellis | Licensed Practical Nurse | 5535 N 67th Ave, Glendale, AZ 85301-8214 | 2014-09-04 |
| 1992012900 | Renee Denise Ellis | Speech-Language Pathologist | 120 Rathbun Ave, Staten Island, NY 10312-3006 | 2010-09-13 |
| Street Address |
818 E BROADWAY ST |
| City | SPARTA |
| State | IL |
| Zip Code | 62286-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548216476 | Sparta Community Hospital | General Acute Care Hospital | 818 E Broadway St, Sparta, IL 62286-0297 | 2006-05-25 |
| 1356862742 | Rebecca Koopman | Specialist/Technologist | 818 E Broadway St, Sparta, IL 62286-1820 | 2017-07-06 |
| 1194162370 | Midwest Emergency Sparta, Inc | Emergency Medicine | 818 E Broadway St, Sparta, IL 62286-1820 | 2013-05-29 |
| 1710261623 | Community Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 818 E Broadway St, 1st Floor, Sparta, IL 62286-1820 | 2011-10-11 |
| 1275822587 | Abby Marie Woods | Nurse Practitioner | 818 E Broadway St, Sparta, IL 62286-1820 | 2011-04-07 |
| 1154626448 | Sparta Community Hospital Dba Quality Healthcare Clinics | Clinic/Center | 818 E Broadway St, Sparta, IL 62286 | 2011-01-18 |
| 1841443793 | Barbara J Brown | Dietitian, Registered | 818 E Broadway St, Sparta, IL 62286-1820 | 2008-10-23 |
| 1225218837 | Hospitalmd of Sparta-ip, Inc | Hospitalist | 818 E Broadway St, Sparta, IL 62286-1820 | 2007-11-12 |
| 1609097617 | Hospitalmd of Sparta, Inc | Emergency Medicine | 818 E Broadway St, Sparta, IL 62286-1820 | 2007-05-01 |
| 1639187149 | Sparta Community Hospital | Home Health | 818 E Broadway St, Sparta, IL 62286-1820 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| Find all providers in zip 62286 | ||||
| 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 |
|---|---|---|---|---|
| 1689915662 | Aimee K Harrington | Dietitian, Registered | 27 Brookfield Dr, Sparta, NJ 07871 | 2013-03-15 |
| 1164909784 | Ohm and Body LLC | Dietitian, Registered | 27 Brookfield Dr, Sparta, NJ 07871-3212 | 2018-07-26 |
| 1124414362 | Barbara Bancroft Colwell | Dietitian, Registered | 285 W Turn Table Rd, Sparta, TN 38583-1366 | 2015-04-14 |
| 1902159130 | Kristen Lacole Elledge | Dietitian, Registered | 157 Health Services Rd, Sparta, NC 28675-3000 | 2012-10-25 |
| 1841443793 | Barbara J Brown | Dietitian, Registered | 818 E Broadway St, Sparta, IL 62286-1820 | 2008-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
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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.