MS. TORIE ANN FULLER (NPI# 1053745646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053745646 |
Entity Type | Individual |
Full Name | MS. TORIE ANN FULLER |
Credential | M.S., R.D. |
Practice Address |
2307 Gordon Cooper Dr Shawnee OK 74801-9007 |
Practice Telephone | 4053959303 |
Practice Fax Number | 4053959305 |
Mailing Telephone | 4053959303 |
Mailing Fax Number | 4053959305 |
Enumeration Date | 2013-08-30 |
Last Update Date | 2013-09-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 669 | OK | Dietary & Nutritional Service Providers |
Street Address |
2307 GORDON COOPER DR |
City | SHAWNEE |
State | OK |
Zip Code | 74801-9007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598752503 | Kent H Potts | Internal Medicine | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2005-10-04 |
1619505179 | Kiley Nicole Henderson | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-31 |
1801422944 | Joni Pataki | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-20 |
1265063960 | Stephanie Alvillar | Nurse Practitioner | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-31 |
1629618640 | Savannah Nycole Bagwell | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-07 |
1770130379 | Darci Leigh Jenkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-20 |
1356997423 | Christina Marie Trout | Registered Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-14 |
1720630262 | Dayna Kathleen Grandstaff | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-07-15 |
1891251575 | Monica Jinkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-02-18 |
1700351392 | Shelby Janae Parsons | Registered Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2018-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
Find all providers in zip 74801 |
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 |
---|---|---|---|---|
1255772059 | Laura E Hernandez | Dietitian, Registered | 7100 Aminda Dr, Shawnee, KS 66227-2116 | 2013-07-10 |
1568695401 | Judy Ann Wegman | Dietitian, Registered | 18601 Midland Drive, Shawnee, KS 66218 | 2009-08-26 |
1164686655 | Carrye Luree Wells | Dietitian, Registered | 804 E Georgia St, Shawnee, OK 74804-3039 | 2008-07-14 |
1639266414 | Nichole Rene' Johnson | Dietitian, Registered | 2 E. Main Street, Shawnee, OK 74801 | 2006-10-05 |
1407322860 | Taylor Conrad | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-10-23 |
1942795448 | Magdelon Gilbert | Dietitian, Registered | 2345 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2018-06-27 |
1558727602 | Morgan Blackstock | Dietitian, Registered | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2016-01-05 |
1255709580 | Madison Dahl | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-09-03 |
1568802098 | Jennifer Laura Wade | Dietitian, Registered | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2013-06-28 |
1073958955 | Nicole Gwen Joyner | Dietitian, Registered | 13550 W 63rd St, Hy-vee, Inc., Shawnee, KS 66216-3814 | 2013-05-06 |
Find all providers in SHAWNEE |
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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.