MRS. CHERYL AMANDA WILLIS (NPI# 1992367122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992367122 |
| Entity Type | Individual |
| Full Name | MRS. CHERYL AMANDA WILLIS |
| Credential | RDN |
| Practice Address |
2710 S Rife Medical Ln Rogers AR 72758-1452 |
| Mailing Address |
6308 S 37th St Rogers AR 72758-1612 |
| Practice Telephone | 4793388000 |
| Mailing Telephone | 4794452717 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1774 | AR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659604981 | Cheryl Vanden Burg Willis | Physical Therapy Assistant | 129 Wornom Dr, Seaford, VA 23696-2560 | 2009-09-18 |
| 1508081936 | Cheryl G Willis | Counselor | 6901 N 72nd St, Omaha, NE 68122-1709 | 2007-04-13 |
| 1609885052 | Cheryl Willis | Physical Therapy Assistant | 133 Corporate Dr, Suite 2, Bangor, ME 04401-4312 | 2006-08-05 |
| 1093722407 | Cheryl Y Willis | Speech-Language Pathologist | 2367 Ga Highway 88, Hephzibah, GA 30815-4630 | 2006-08-01 |
| Street Address |
2710 S RIFE MEDICAL LN |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449423 | Meaghan Mcnulty | Internal Medicine | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2005-07-05 |
| 1518591809 | Mercy Hospital Rogers | Rehabilitation Unit | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2020-02-26 |
| 1003379173 | Lawrence Anthony Hoyt | Student in an Organized Health Care Education/Training Program | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2019-04-07 |
| 1194281840 | Ryan Payne | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2019-02-19 |
| 1720562945 | Rachel Iwanda Reynolds | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2018-09-24 |
| 1174017917 | Kathryn Rae Dutton | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2018-06-15 |
| 1487175303 | Natale Lanell Yates | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-06-30 |
| 1376077388 | Eric W Haynes | Registered Nurse | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-04-17 |
| 1730629163 | Tonya Davis | Registered Nurse | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2017-03-05 |
| 1144768805 | Elizabeth Hernandez | Health Educator | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| 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 |
|---|---|---|---|---|
| 1366074494 | Mariah Jane Johnson | Dietitian, Registered | 14995 Country Rd, Rogers, MN 55374-8747 | 2020-02-06 |
| 1386156628 | Pamela Laney | Dietitian, Registered | 3333 S Pinnacle Hills Pkwy Ste 300b, Rogers, AR 72758-9000 | 2017-10-26 |
| 1942678966 | Shyamala Ganesh | Dietitian, Registered | 23516 Birch Cir, Rogers, MN 55374-8795 | 2015-09-08 |
| 1538540307 | Debra A Zwiefelhofer | Dietitian, Registered | 13225 Arthur St, Rogers, MN 55374-8753 | 2015-06-17 |
| 1790115335 | New Directions Health and Wellness, LLC | Dietitian, Registered | 5431 W Pinnacle Pointe Dr Ste 104, Rogers, AR 72758-7032 | 2013-11-18 |
| 1275801508 | New Directions Physician Weight Loss | Dietitian, Registered | 5501 Pinnacle Pt Dr, Rogers, AR 72758-8131 | 2011-12-01 |
| 1184186926 | Dalton Marie Gall | Dietitian, Registered | 3333 S Pinnacle Hills Pkwy, Rogers, AR 72758-9100 | 2019-04-02 |
| 1083120323 | Jennifer Lee Clampitt | Dietitian, Registered | 1001 S Horsebarn Rd, Rogers, AR 72758-8184 | 2017-12-22 |
| 1952711848 | Casey Sams | Dietitian, Registered | 1001 S Horsebarn Rd, Rogers, AR 72758-8184 | 2014-05-01 |
| 1114177474 | Lynn Seabolt Jr. | Dietitian, Registered | 2710 Rife Medical Ln, Rogers, AR 72758-1452 | 2008-09-23 |
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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.