COURTNEY BASCOM (NPI# 1003312315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003312315 |
| Entity Type | Individual |
| Full Name | COURTNEY BASCOM |
| Practice Address |
1300 Jefferson Park Ave Fl 4 Charlottesville VA 22903-3363 |
| Mailing Address |
361 1st St N Charlottesville VA 22902-5004 |
| Practice Telephone | 4349245367 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86077676 | Dietary & Nutritional Service Providers |
| Street Address |
1300 JEFFERSON PARK AVE FL 4 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104938893 | Jeremy A. Benedetti | Registered Nurse | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363 | 2006-08-31 |
| 1811550064 | Suzanne Queheillalt | Clinical Nurse Specialist | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363 | 2019-04-15 |
| 1700129111 | Amanda C Pysher | Surgery | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903 | 2013-04-03 |
| 1932457934 | Heather Passerini | Nurse Practitioner | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903 | 2012-08-22 |
| 1790985778 | Swati Rao | Internal Medicine | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903 | 2007-07-19 |
| 1760696231 | Christopher A. Campbell | Plastic Surgery | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363 | 2007-05-10 |
| 1740359371 | Raymond F. Morgan | Plastic Surgery | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| 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 |
|---|---|---|---|---|
| 1235736364 | Shirin Pourafshar | Dietitian, Registered | 966 Belvedere Blvd, Charlottesville, VA 22901-3202 | 2020-10-01 |
| 1346874641 | Amy Jean Berry | Dietitian, Registered | Uva Emily Couric Cancer Center 1240 Lee St, Charlottesville, VA 22908-0001 | 2020-02-25 |
| 1093358558 | Shawna Dacus | Dietitian, Registered | 1300 Jpa, Charlottesville, VA 22908-0001 | 2019-10-28 |
| 1649828278 | Shannon Mcshea | Dietitian, Registered | 912 Bing Ln, Charlottesville, VA 22903-4048 | 2019-08-27 |
| 1770130544 | Rebecca Heming | Dietitian, Registered | 128 Georgianna Aly, Charlottesville, VA 22901-3211 | 2019-08-26 |
| 1780236703 | Hannah K Noland | Dietitian, Registered | 709 W Main St # A, Charlottesville, VA 22903-4570 | 2019-07-10 |
| 1275024259 | Samantha Kepler Van Dyke | Dietitian, Registered | 152 Burnet St, Charlottesville, VA 22902-5501 | 2018-05-24 |
| 1043717820 | Viola Fields Holmes | Dietitian, Registered | 4464 Sunset Dr, Charlottesville, VA 22911-2402 | 2018-04-09 |
| 1710483177 | Katherine Osterlund | Dietitian, Registered | 613 North Ave, Charlottesville, VA 22901-4017 | 2018-04-04 |
| 1508362997 | Tamara Gordon | Dietitian, Registered | 94 Biltmore Dr, Charlottesville, VA 22901-2402 | 2018-04-04 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.