MRS. TARA MICHELLE EICHERT (NPI# 1063712099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063712099 |
| Entity Type | Individual |
| Full Name | MRS. TARA MICHELLE EICHERT |
| Credential | RD, CNSC, LDN |
| Practice Address |
720 Saint James Dr Wilmington NC 28403-2937 |
| Mailing Address |
218 N 23rd St Wilmington NC 28405-2863 |
| Practice Telephone | 9106608200 |
| Mailing Telephone | 9107921231 |
| Mailing Fax Number | 9107998118 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L003647 | NC | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1414 39th Street, Wilmington, NC 28403 | 9107921231 | 9107998118 |
| Street Address |
720 SAINT JAMES DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437084 | Jaya Rose Perentis | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1578164372 | Eleanor Winston | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1013518810 | Caroline Faith Pittman | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1477154425 | Miranda Sue Durcholz | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-05 |
| 1548878127 | Michael John Mathews | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-07-20 |
| 1548885817 | Tiffany R Kronenwetter | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-06-12 |
| 1174174270 | Alexandria Rae Brown | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2019-09-20 |
| 1518429026 | Connor Marie Sheehan | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2019-04-03 |
| 1013497379 | Ashleigh Lynn Leuck | Psychologist | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2018-08-16 |
| 1255811592 | Ryan Charles Blejewski | Psychologist | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2018-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| 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 |
|---|---|---|---|---|
| 1659978245 | Jaclyn Lee Atwater | Dietitian, Registered | 415 Yucca Ln, Wilmington, NC 28412-1042 | 2020-10-06 |
| 1912521626 | Kenneth Jefferson Allen IIi | Dietitian, Registered | 2106 Barnett Ave, Wilmington, NC 28403-2240 | 2020-05-29 |
| 1720600729 | Melissa Buscetta | Dietitian, Registered | 4647 Fairview Dr Apt 328, Wilmington, NC 28412-3684 | 2020-05-12 |
| 1285270207 | Ruby Ali | Dietitian, Registered | 115 Amberleigh Dr Apt 206, Wilmington, NC 28411-9810 | 2019-11-25 |
| 1184280158 | Melissa Danielle Flynn | Dietitian, Registered | 4702 Bentley Dr, Wilmington, NC 28409-6958 | 2019-05-15 |
| 1013424126 | Kyrstin Brianna Draney | Dietitian, Registered | 5129 Oleander Dr Ste 103, Wilmington, NC 28403-7062 | 2018-01-10 |
| 1588191225 | Rachael Swartz | Dietitian, Registered | 3305 Burnt Mill Dr Ste 100, Wilmington, NC 28403-3067 | 2017-05-12 |
| 1235663014 | April Callahan | Dietitian, Registered | 2 Kristina Ct, Wilmington, DE 19808-4063 | 2017-04-18 |
| 1518416205 | Nancy Lois Angell | Dietitian, Registered | 114 Kenneth Ct, Wilmington, NC 28405-1307 | 2016-09-23 |
| 1891163218 | Stefanie Weiner | Dietitian, Registered | 919 Cloister Rd, Apt E, Wilmington, DE 19809-1018 | 2015-09-02 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.