DANA MARIA HERAZO (NPI# 1962530840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962530840 |
| Entity Type | Individual |
| Full Name | DANA MARIA HERAZO |
| Other Name | DANA MARIA SUSZKIW |
| Credential | RD,LD,CDE |
| Practice Address |
251 N Bayou St Mobile AL 36603-5827 |
| Practice Telephone | 2516908847 |
| Practice Fax Number | 2515442188 |
| Mailing Telephone | 2516908847 |
| Mailing Fax Number | 2515442188 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 667852 | AL | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | LD 131 | OH | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | NPI GROUP PAYEE NUMBER | 1063439065 | 01 |
| AL | MEDICARE GROUP PAYEE NUMBER | 011846 | 01 |
| AL | 630000013 | 05 |
| Street Address |
251 N BAYOU ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36603-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425310 | Constance D Cooper | Obstetrics & Gynecology | 251 N Bayou St, Mobile, AL 36603-5827 | 2005-05-23 |
| 1427669449 | Janelle N Davis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2020-08-13 |
| 1841853496 | Misty Guy | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2019-04-19 |
| 1629534656 | Mason Alexander Wade | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2019-02-14 |
| 1508351297 | Jeri Dean Jones | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-06-26 |
| 1629568308 | Emily Gurganus Hay | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-17 |
| 1518456052 | Betty Biggs | Social Worker | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-09 |
| 1992294433 | Dominique Kimble | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-09 |
| 1790291128 | Claris Leigh Feibelman | Dietitian, Registered | 251 N Bayou St, Mobile, AL 36603-5827 | 2017-12-21 |
| 1528573573 | Victoria King Kennedy | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2017-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1942784483 | Dale Deward Donnelly | Physical Therapy Assistant | 1361 Dr. Martin Luther King Jr. Ave., Mobile, AL 36603 | 2018-09-20 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1699195024 | Jamie Hennigan | Student in an Organized Health Care Education/Training Program | 162.5 N Bayou St, Upper B, Mobile, AL 36603 | 2014-04-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1679532303 | Franklin Primary Health Center, Inc. | Obstetrics & Gynecology | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2006-03-21 |
| 1669657896 | James M Lawrence | Family Medicine | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2008-01-07 |
| 1417913682 | Montubua Vasser-smith | Internal Medicine | 1303 Dr Martin Luther King Jr Ave, Mobile, AL 36603 | 2006-04-25 |
| 1851356760 | Gail Anita Luker | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile Center Franklin Primary Health Center Inc, Mobile, AL 36603 | 2006-04-20 |
| 1982846754 | Dales Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 880 Martin Luther King Ave, Suite E, Mobile, AL 36603-0000 | 2009-03-25 |
| Find all providers in zip 36603 | ||||
| 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 |
|---|---|---|---|---|
| 1689208886 | Joanna Starks Danzy | Dietitian, Registered | 5550 Vanderbilt Dr N, Mobile, AL 36608-3084 | 2020-02-26 |
| 1144869595 | Amanda Kelley Arnold | Dietitian, Registered | 2557 S Durham Dr, Mobile, AL 36606-1742 | 2020-01-02 |
| 1720506868 | Rebecca Light | Dietitian, Registered | Po Box 2867, Mobile, AL 36652-2867 | 2017-09-08 |
| 1467979468 | Patricia K. James | Dietitian, Registered | 350 N Broad St Ste K, Mobile, AL 36603-5811 | 2017-08-29 |
| 1013398585 | Colleen Dawley | Dietitian, Registered | 2561 Dauphin St, Mobile, AL 36606-4850 | 2015-06-10 |
| 1558764696 | Laura Oliver | Dietitian, Registered | 7228 Oakbriar Dr S, Mobile, AL 36619-1226 | 2014-10-03 |
| 1831504265 | Andrea Dossett | Dietitian, Registered | 4803 Auburn Dr S, Mobile, AL 36618-2147 | 2014-06-24 |
| 1992136436 | Lorie Lynn Beasley | Dietitian, Registered | 55 Midtown Park E, Mobile, AL 36606-4141 | 2013-12-10 |
| 1124371331 | Lila S Sanders | Dietitian, Registered | 2029b Airport Blvd Ste 195, Mobile, AL 36606-1366 | 2012-10-25 |
| 1699080481 | Lindsey Westbrook Lee | Dietitian, Registered | 2029 Airport Blvd Ste 195, Mobile, AL 36606-1754 | 2010-08-17 |
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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.