MRS. VIRGINIA ANN KERWIN (NPI# 1023160728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023160728 |
| Entity Type | Individual |
| Full Name | MRS. VIRGINIA ANN KERWIN |
| Credential | R.D. ,CDE, LDN |
| Practice Address |
102 W Kenwood Ave Decatur IL 62526-4368 |
| Mailing Address |
102 W Kenwood Decatur IL 62526 |
| Practice Telephone | 2175458000 |
| Mailing Telephone | 2175458000 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164.001360 | IL | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1770 E Lake Shore Dr, Decatur, IL 625213832 | 2174641350 | 2174641359 |
| Street Address |
102 W KENWOOD AVE |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376534636 | Jeffrey Bruce Rounds | Specialist/Technologist | 102 W Kenwood Ave, Decatur, IL 62526-4300 | 2005-11-04 |
| 1497277263 | Jonathan Roderick Dutt | Family Medicine | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-07-12 |
| 1407376338 | Board of Trustees of Southern Illinois University | Clinic/Center | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-06-21 |
| 1992234504 | Nicole Gabriel Tenegra | Family Medicine | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-06-07 |
| 1811340979 | Aimen Naeem | Family Medicine | 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 | 2016-07-13 |
| 1528411683 | Hema Patel | Family Medicine | 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 | 2016-07-13 |
| 1578914867 | Deepti Sood | Family Medicine | 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 | 2016-06-28 |
| 1780065730 | Zeerak Qureshi | Family Medicine | 102 W Kenwood Ave, Ste 100, Decatur, IL 62526-4368 | 2015-06-16 |
| 1780076901 | Audra L Trump | Nurse Practitioner | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2015-02-25 |
| 1619396736 | Michael Knobeloch | Counselor | 102 W Kenwood Ave, Suite 120a, Decatur, IL 62526-4368 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1588281018 | Annie Laine Parks | Dietitian, Registered | 805 N Trinity St, Decatur, TX 76234-1146 | 2020-06-30 |
| 1336768167 | Sylvia P Poulos | Dietitian, Registered | 1989 Wilandrew Dr, Decatur, GA 30033-1917 | 2020-04-12 |
| 1811478472 | Holley Nash | Dietitian, Registered | 1201 Clairmont Rd Ste 110, Decatur, GA 30030-1258 | 2018-08-22 |
| 1124538129 | Anna Leigh Blevens | Dietitian, Registered | 115 N Mcdonough St Ste A, Decatur, GA 30030-3354 | 2017-10-04 |
| 1497293955 | Rachel Anne Mcbride | Dietitian, Registered | 81 Pennsylvania Dr, Decatur, IL 62526-2349 | 2017-02-05 |
| 1235584111 | Christi Hansen | Dietitian, Registered | 253 Forkner Dr, Decatur, GA 30030-1612 | 2016-04-28 |
| 1639537822 | Moira Faris | Dietitian, Registered | 292 W Parkwood Rd, Decatur, GA 30030-2821 | 2016-02-03 |
| 1326479262 | Lori Ann Scholle | Dietitian, Registered | 615 Ponce De Leon Pl, Decatur, GA 30030-5108 | 2013-12-03 |
| 1851695126 | Vera Green | Dietitian, Registered | 2320 N Eiffel Ct, Decatur, GA 30032-5633 | 2010-12-30 |
| 1427375286 | Kimberly Ann Donohue | Dietitian, Registered | 1874 Beltine Rd, Decatur, AL 35601 | 2010-05-03 |
| Find all providers in DECATUR | ||||
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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.