MS. MARY K STANSELL (NPI# 1083653471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083653471 |
| Entity Type | Individual |
| Full Name | MS. MARY K STANSELL |
| Credential | RD LD CDE |
| Practice Address |
221 Stewart Avenue Suite #101 Medford OR 97501-3609 |
| Practice Telephone | 5417762003 |
| Practice Fax Number | 5417769833 |
| Mailing Telephone | 5417762003 |
| Mailing Fax Number | 5417769833 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 136 | OR | Dietary & Nutritional Service Providers |
| Street Address |
221 STEWART AVENUE SUITE #101 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1043855430 | Brittany Lauren Berger | Dietitian, Registered | 0 Governors Ave Ste 2, Medford, MA 02155-3037 | 2019-11-09 |
| 1720435183 | Sarah Leib | Dietitian, Registered | 1 New Kent Ct, Medford, NJ 08055-8618 | 2016-05-16 |
| 1154694768 | Christine Morrell | Dietitian, Registered | 1100 East Main Street, Medford, OR 97504 | 2012-02-13 |
| 1063793495 | Laura Ruth Winters | Dietitian, Registered | 760 Golf View Drive, Suite # 200, Renal Care Consultants PC, Medford, OR 97504 | 2011-08-30 |
| 1598092389 | Elizabeth Backer Amisson | Dietitian, Registered | 53 S Main St Ste 2f, Medford, NJ 08055-2442 | 2009-11-16 |
| 1295827103 | Lynn P Hillery | Dietitian, Registered | 76 Southaven Ave Ste 2, Medford, NY 11763-3745 | 2006-09-28 |
| 1164430518 | Susan L Spiva | Dietitian, Registered | 825 E Main St Ste C, Medford, OR 97504-7171 | 2006-08-03 |
| 1861415564 | Jennifer L Canganelli | Dietitian, Registered | 2900 E Barnett Rd Ste 2, Medford, OR 97504-8380 | 2006-07-25 |
| 1265053722 | Dana Bean | Dietitian, Registered | 900 E Main St, Medford, OR 97504-7136 | 2020-05-06 |
| Find all providers in MEDFORD | ||||
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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.