PRISCILLA C PACKNETT (NPI# 1134233257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134233257 |
| Entity Type | Individual |
| Full Name | PRISCILLA C PACKNETT |
| Credential | RD, LDN |
| Practice Address |
1061 Harmon Avenue Suite 1d03 Fort Stewart GA 31314-5674 |
| Mailing Address |
1061 Harmon Ave Suite 1d03 Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124356965 |
| Mailing Telephone | 9124356965 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD001900 | GA | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | ND3766 | FL | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 2002031039 | MO | Dietary & Nutritional Service Providers |
| Street Address |
1061 HARMON AVENUE SUITE 1D03 |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558345231 | German Rene Gonzalez Ramos | Pediatrics | 1061 Harmon Avenue, Fort Stewart, GA 31314-5611 | 2005-12-06 |
| 1861944639 | Amanda Haines-o'brien | Behavior Technician | 1061 Harmon Avenue, Winn Army Community Hospital-ipbhu, Fort Stewart, GA 31314-5674 | 2016-10-27 |
| 1568867182 | Dynisha Ivy | Pharmacist | 1061 Harmon Avenue, Fort Stewart, GA 31314-5674 | 2014-10-24 |
| 1265857270 | Jeffrey Charles Haynes II | Occupational Therapist | 1061 Harmon Avenue, Winn Army Community Hospital, Fort Stewart, GA 31314 | 2014-02-27 |
| 1437570694 | Andrea Creary | Social Worker | 1061 Harmon Avenue, Fort Stewart, GA 31314-5674 | 2013-12-13 |
| 1124393061 | Edmond J Mcdonnell Jr. | Ophthalmology | 1061 Harmon Avenue, Fort Stewart, GA 31314-5674 | 2012-03-10 |
| 1861774051 | Melissa Diane Tsai | Physical Therapist | 1061 Harmon Avenue, Suite 1d03, Fort Stewart, GA 31314-5674 | 2011-09-13 |
| 1457645244 | Sally Dee Stasio | Otolaryngology | 1061 Harmon Avenue, Fort Stewart, GA 31314-5674 | 2011-06-09 |
| 1740596675 | Samantha M Mezcua | Marriage & Family Therapist | 1061 Harmon Avenue, Winn Army Community Hospital, Fort Stewart, GA 31314-5611 | 2010-08-30 |
| 1740507730 | Latasha Denise Gray | Physician Assistant | 1061 Harmon Avenue, Winn Army Community Hospital, Fort Stewart, GA 31314-5674 | 2010-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| 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 |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1861929085 | Adebisi Z Ibrahim | Dietitian, Registered | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2017-05-18 |
| 1831622752 | Jennifer Lopera | Dietitian, Registered | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2017-04-07 |
| 1669911939 | U.S. Army | Dietitian, Registered | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2017-02-18 |
| 1700339207 | Alexia Beauregard | Dietitian, Registered | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2016-08-01 |
| 1891180758 | Sarah Lynn Troha | Dietitian, Registered | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2015-03-30 |
| 1578843215 | Tomekia L Vikhrov | Dietitian, Registered | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2011-08-25 |
| 1194027383 | Kristina Yavorski | Dietitian, Registered | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2010-11-22 |
| 1164752267 | Bridget A Couchon | Dietitian, Registered | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314 | 2010-01-12 |
| 1780820035 | Michelle L Yett | Dietitian, Registered | 1061 Harmon Ave, Fort Stewart, GA 31314-5611 | 2008-12-16 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
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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.