MRS. SHELLY LYNN CLYDE (NPI# 1073585493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073585493 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY LYNN CLYDE |
| Credential | R.D, L.D |
| Practice Address |
Hhc 121 General Hospital Box 663 Apo AP 96205 |
| Practice Telephone | 01182279175302 |
| Practice Fax Number | 01182279173251 |
| Mailing Telephone | 01182279175302 |
| Mailing Fax Number | 01182279173251 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-04-20 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT06316 | TX | Dietary & Nutritional Service Providers |
| Street Address |
HHC 121 GENERAL HOSPITAL BOX 663 |
| City | APO |
| State | AP |
| Zip Code | 96205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273612 | Robyn Stafford | Registered Nurse | Hhc 121 General Hospital, Box 393, Apo, AP 96205 | 2005-11-24 |
| 1447499876 | Sarah Wadsworth | Registered Nurse | Hhc 121 General Hospital, Box 376, Apo, AP 96205 | 2009-02-09 |
| 1083699581 | Camisha Quinise Boatwright | Registered Nurse | Hhc 121 General Hospital, Box #42, Apo, AP 96205 | 2005-12-07 |
| 1669455432 | Nicole Amber Green | Registered Nurse | Hhc 121 General Hospital, Box 227, Apo, AP 96205 | 2005-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
| 1952815235 | Robert Martinusek | Physical Therapist | Brian Allgood Army Community Hospital Unit 15543, Bldg 7005, Apo, AP 96205 | 2017-11-26 |
| 1659897056 | Laura Tsu | Dentist | 618 Mc Co Dental Com Wbpdaa, Yong San, AP 96205 | 2017-08-17 |
| 1962959502 | Amy Lee Wooten | Nurse Anesthetist, Certified Registered | Brian Allgood Army Hospital, Unit 15244, Camp Humphreys, KOREA 96205 | 2016-09-01 |
| 1912451105 | Laurel Alison Kessler | Dentist | 618 Md Co Dental Company, Apo, AP 96205 | 2016-08-05 |
| 1396116059 | Stephanie Louise Wheeler | Counselor | Hq, Usameddac-korea, Unit 15281, Apo, AP 96205 | 2015-10-07 |
| 1720454994 | Jared Colin Stewart | Dentist | 618th Dental Company, Usa Dentac Korea, Unit 15652, Apo, AP 96205 | 2015-08-11 |
| 1356717524 | John Carmen Warren | Dentist | 618th Dental Company, Usa Dentac - Korea, Unit # 15652, Apo, AP 96205 | 2015-08-11 |
| 1912381823 | Chanise Garvin-dumay | Registered Nurse | 121 Csh/baach. Pad, Yongsan, Apo, AP 96205 | 2015-07-10 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| Find all providers in zip 96205 | ||||
| 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 |
|---|---|---|---|---|
| 1396304846 | Danielle Sprunger | Dietitian, Registered | Unit 15375, Apo, AP 96260-5375 | 2019-06-09 |
| 1225519325 | Morgan Mead | Dietitian, Registered | Usaf Hospital, 77 Nealy Ave, Apo, AA 23669 | 2018-08-27 |
| 1528428596 | Misa Cadua | Dietitian, Registered | 374 Mdg/sghc, Unit 5071, Apo, AP 96328-5071 | 2016-03-03 |
| 1417337668 | Eun Dennis | Dietitian, Registered | 65th Medical Brigade, Unit #15281 Box 712, Apo, AP 96205-5281 | 2015-06-03 |
| 1750773800 | Denise Laursen | Dietitian, Registered | Hq Usa Meddac-korea, Unit 15281, Apo, AP 96205-0054 | 2015-02-26 |
| 1710221734 | Margaret Elizabeth Wilson | Dietitian, Registered | Cmr 402 Box 2130, Apo, AE 09180-0022 | 2012-11-15 |
| 1306128657 | Elizabeth Claire Thompson | Dietitian, Registered | Department of The Army Headquarters, Quality Management Division (credentials), Unit #15281, Apo, AP 96205-5281 | 2011-09-13 |
| 1588987101 | Brittany June Ray | Dietitian, Registered | Psc 79, Box 69, Apo, AE 09714-9998 | 2010-03-10 |
| 1013243203 | Tanya Jo Fischer | Dietitian, Registered | Cmr 482, Stuttgart Health Clinic On Patch Barracks, Apo, AE 09128 | 2009-10-23 |
| 1952535619 | Lora Pietszak | Dietitian, Registered | 31 Amds/sgpz, Unit 6180 Box 245, Apo, AE 09601-0245 | 2009-05-11 |
| Find all providers in APO | ||||
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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.