MELISSA GAYLE VAVRICKA-CONAWAY (NPI# 1992839211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992839211 |
| Entity Type | Individual |
| Full Name | MELISSA GAYLE VAVRICKA-CONAWAY |
| Practice Address |
1001 N Country Club Rd Ada OK 74820-2847 |
| Practice Telephone | 5804214570 |
| Practice Fax Number | 5804216283 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1179 | OK | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE LICENSE # | 1179 | 01 |
| Street Address |
1001 N COUNTRY CLUB RD |
| City | ADA |
| State | OK |
| Zip Code | 74820-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408928 | Clint Forrest | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2005-12-22 |
| 1184940926 | Bobby Saunkeah | Registered Nurse | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2010-04-19 |
| 1689810376 | Linda Lewis | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1053557736 | Shannon Treat | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1558507244 | Joan Garvin | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1487899704 | Lesli Barrett | Physical Medicine & Rehabilitation | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-16 |
| 1770788408 | Lyn Page | Dentist | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-06-21 |
| 1164641825 | Jenny Simon | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-04-24 |
| 1578627824 | Troy Caldwell | Anesthesiology | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-12-21 |
| 1467513135 | Jang Kim | Radiology | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1104325844 | Leah Rachel Miller | Dietitian, Registered | Mercy Hospital Ada - Food and Nutrition Services, 430 N Monte Vista, Ada, OK 74820 | 2018-02-08 |
| 1851829865 | Sarah Jane Miracle | Dietitian, Registered | 409 S 14th Pl, Ada, OK 74820-7137 | 2017-06-03 |
| 1538618152 | Sandra Linn Andrews | Dietitian, Registered | 8699 Vergennes St Se, Ada, MI 49301-8910 | 2016-09-23 |
| 1518243252 | Cassandra Star Edwards | Dietitian, Registered | 3901 N Broadway Ave, Ada, OK 74820-1109 | 2011-10-26 |
| 1609438159 | Mamie Alicia Thompson | Dietitian, Registered | 430 N Monte Vista St, Ada, OK 74820-4657 | 2019-07-05 |
| 1891247466 | Nissa Harrington | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-10-31 |
| 1053778514 | Darlene Seck | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-01-28 |
| 1598122194 | Caitlin Barringer | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-01-27 |
| 1134550114 | Rachael Edmundson | Dietitian, Registered | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2013-12-02 |
| 1720325269 | Melanie Todd | Dietitian, Registered | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2013-01-03 |
| Find all providers in ADA | ||||
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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.