MS. SARA ROSE ADDISON (NPI# 1073139994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073139994 |
| Entity Type | Individual |
| Full Name | MS. SARA ROSE ADDISON |
| Credential | MS, RD, LD |
| Practice Address |
601 Dallas Hwy Villa Rica GA 30180-1202 |
| Practice Telephone | 7708123249 |
| Mailing Telephone | 7708123249 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD003685 | GA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407180029 | Sara Adams Addison | Nurse Practitioner | 2150 Lakeside Blvd, Suite 100, Richardson, TX 75082-4302 | 2009-09-29 |
| Street Address |
601 DALLAS HWY |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851388748 | Tmc/villa Rica Hospital, Inc | General Acute Care Hospital | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2005-10-05 |
| 1851906192 | Sophia Tieu | Registered Nurse | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2020-09-14 |
| 1972139566 | Stefanie Christopher | Nurse Practitioner | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2020-03-16 |
| 1144784679 | Nova Medical Services, LLC | Family Medicine | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2019-01-29 |
| 1134442122 | Elissaveta B Johnson | Dietitian, Registered | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2010-03-05 |
| 1104066265 | Tmc/villa Rica Hospital, Inc | Psychiatric Unit | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2009-03-03 |
| 1801068796 | Oglethorpe Emergency Physicians | Emergency Medicine | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2008-03-31 |
| 1417910001 | David I Antokal | Nurse Anesthetist, Certified Registered | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| Find all providers in zip 30180 | ||||
| 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 |
|---|---|---|---|---|
| 1134442122 | Elissaveta B Johnson | Dietitian, Registered | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2010-03-05 |
| 1437346319 | Rosalind Phillip | Dietitian, Registered | 601 Dallas Highway, Villa Rica, GA 30180 | 2007-09-25 |
| 1598972044 | Jessica Denise Mack | Dietitian, Registered | 705 Dallas Hwy, Villa Rica, GA 30180-1247 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
| 1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
| 1033717830 | Ariathni Pinacas Powell | Dietitian, Registered | 5761 Hancock Dr, Social Circle, GA 30025-4705 | 2020-10-14 |
| 1467050716 | Louise Brown | Dietitian, Registered | 4075 Cherry Grove Rd, Ball Ground, GA 30107-3295 | 2020-10-09 |
| 1154928513 | Alicia Adams Polk | Dietitian, Registered | 360 Southgate Dr, Locust Grove, GA 30248-4235 | 2020-10-07 |
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1881291532 | Noelle Yaeger Oleary | Dietitian, Registered | 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 | 2020-10-06 |
| 1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
| 1356948293 | Brittany Mitchell Moment | Dietitian, Registered | 2913 Allie Rd, Greenville, GA 30222-2337 | 2020-10-05 |
| 1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | VILLA RICA |
| Zip Code | 30180 |
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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.