DR. ALICIA LANDRY (NPI# 1033726922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033726922 |
| Entity Type | Individual |
| Full Name | DR. ALICIA LANDRY |
| Credential | PHD, RDN, LDN |
| Practice Address |
201 Donaghey Ave Mcalister 100 Conway AR 72035 |
| Practice Telephone | 5018520230 |
| Mailing Telephone | 5018520230 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1938 | AR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639142003 | Alicia M Landry | Pediatrics | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135 | 2006-02-08 |
| 1245412576 | Alicia Ann Landry | Physician Assistant | 1932 Alcoa Hwy, Suite 270, Knoxville, TN 37920-1527 | 2007-11-28 |
| Street Address |
201 DONAGHEY AVE, MCALISTER 100 |
| City | CONWAY |
| State | AR |
| Zip Code | 72035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932638327 | Hyung Rock Lee | Specialist/Technologist | 201 Donaghey Ave, Prince Center 133d, Conway, AR 72035 | 2017-06-08 |
| 1720516289 | Wendy A Magbanua | Case Manager/Care Coordinator | 317 Lower Ridge Rd, Conway, AR 72035-0001 | 2017-05-30 |
| 1639227929 | Dominic L Moreno | Specialist/Technologist | 128 Uca Prince Ctr, 201 Donaghey, Conway, AR 72035-0001 | 2007-01-05 |
| 1770546152 | Ellen Epping | Specialist/Technologist | University of Central Arkansas, Prince Center 133e, Conway, AR 72035-0001 | 2006-04-07 |
| 1497965917 | James Arthur Gillaspy Jr. | Psychologist | 201 Donaghey Ave, Department of Psychology and Counseling, Conway, AR 72035-0001 | 2007-05-23 |
| 1982667465 | Stephen David Hornor | Specialist/Technologist | University of Central Arkansas, Prince Center - Room 133c, Conway, AR 72035-0001 | 2006-04-07 |
| 1912543240 | University of Central Arkansas | Family Medicine | 201 Donaghey Ave Uca Student Health Center, Conway, AR 72035-5001 | 2019-11-21 |
| 1831154335 | David Edward Strickland | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2006-04-18 |
| 1235749359 | Jm Wellness, LLC | Dietitian, Registered | 201 Donaghey Ave, Conway, AR 72035-5001 | 2020-08-04 |
| 1871123968 | Holly Jo Langster | Nurse Practitioner | 201 Donaghey Ave, Conway, AR 72035-5001 | 2020-01-17 |
| Find all providers in zip 72035 | ||||
| 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 |
|---|---|---|---|---|
| 1083116941 | Whitney Marie Holland | Dietitian, Registered | 3475 Malvern Hill Rd, Conway, AR 72032-9163 | 2018-03-06 |
| 1104204270 | Erick Keith Mccarthy | Dietitian, Registered | 18 Water Oak Dr, Conway, AR 72034-3430 | 2015-05-11 |
| 1154627800 | Charity Ashworth | Dietitian, Registered | 700 Salem Rd, Conway, AR 72034-4818 | 2011-01-28 |
| 1760705222 | Alane Scheider | Dietitian, Registered | 500 Hiland Ave, Conway, PA 15027-1464 | 2010-03-11 |
| 1013240928 | Janet A Dance | Dietitian, Registered | 2125 Desha Dr, Conway, AR 72034-7394 | 2009-09-09 |
| 1528209558 | Nina L. Roofe | Dietitian, Registered | 12 Sarah Ln, Conway, AR 72032-9049 | 2009-03-21 |
| 1144244302 | Karen Nichole Thompson | Dietitian, Registered | 2125 College Avenue, Conway, AR 72034 | 2006-07-27 |
| 1366059560 | Lori Jean Dather | Dietitian, Registered | 603 Harkrider St, Conway, AR 72032-5633 | 2020-09-30 |
| 1720605900 | Kristen Nicole Shores | Dietitian, Registered | 150 E Siebenmorgen Rd, Conway, AR 72032-4000 | 2020-07-03 |
| 1851861892 | Haley Katherine Ruffin | Dietitian, Registered | 2302 College Ave, Conway, AR 72034-6297 | 2018-12-03 |
| Find all providers in CONWAY | ||||
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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.