MRS. SHARON JOY MASCOE-MAXWELL (NPI# 1093071151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093071151 |
| Entity Type | Individual |
| Full Name | MRS. SHARON JOY MASCOE-MAXWELL |
| Credential | RD., LD. |
| Practice Address |
1255 Highway 54 W Fayetteville GA 30214-4526 |
| Practice Telephone | 7707196728 |
| Mailing Telephone | 7707196728 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD002930 | GA | Dietary & Nutritional Service Providers |
| Street Address |
1255 HIGHWAY 54 W |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790759579 | Terrence Wise | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2006-02-16 |
| 1518575737 | Lillie La Marre | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-07-14 |
| 1932723285 | Janam Nilesh Patel | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-06-02 |
| 1851934541 | Kara Elizabeth Wright | Registered Nurse | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-10-24 |
| 1093370827 | Virginia Ann Horan | Physician Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-05-07 |
| 1588123285 | Morgan Roberson | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-03-13 |
| 1174099410 | Ellen Marie Morris-white | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-10-14 |
| 1851874085 | Monika Hill | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-09-13 |
| 1700368958 | Kristen Dawn Graddy | Occupational Therapist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-09-04 |
| 1407342603 | Mary Grace B Nuega | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| 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 |
|---|---|---|---|---|
| 1760099238 | Emily Keeling | Dietitian, Registered | 1238 N Vista Pl, Fayetteville, AR 72703-1352 | 2020-09-28 |
| 1114544723 | Katherine Johanna Martin | Dietitian, Registered | 449 Tartan Ct, Fayetteville, NC 28311-1694 | 2020-06-30 |
| 1447872486 | Lindsay Spivey Petty | Dietitian, Registered | 190 Cedar Creek Ct, Fayetteville, GA 30215-2799 | 2020-05-13 |
| 1366003980 | Laura Hill | Dietitian, Registered | 3215 N Northhills Blvd Ste 3, Fayetteville, AR 72703-4424 | 2019-06-25 |
| 1073082053 | Natalie Bules | Dietitian, Registered | 688 E Millsap Rd Ste 100, Fayetteville, AR 72703-3930 | 2018-11-19 |
| 1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
| 1326542317 | Jennifer Joyner | Dietitian, Registered | 424 Mcarthur Rd, Fayetteville, NC 28311-6924 | 2018-03-22 |
| 1114428984 | Paul Thomas Brown | Dietitian, Registered | 3082 W Jewell Rd Apt 1, Fayetteville, AR 72701-1586 | 2018-02-26 |
| 1356799183 | Nutrition Consultants, Inc. | Dietitian, Registered | 6866 Towbridge Rd, Fayetteville, NC 28306-2534 | 2016-06-02 |
| 1619359346 | Sabrina Teresa Hesford | Dietitian, Registered | 408 Warren St, Fayetteville, NY 13066-2138 | 2015-06-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.