WILLOW HEALTH AND PERFORMANCE (NPI# 1134731789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134731789 |
| Entity Type | Organization |
| Organization Name | WILLOW HEALTH AND PERFORMANCE |
| Practice Address |
4353 Tuller Rd Ste K Dublin OH 43017-5071 |
| Mailing Address |
135 Kenny Ln Cardington OH 43315-9611 |
| Practice Telephone | 9376429037 |
| Mailing Telephone | 9376429037 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | ALYSSA REAU BROADWATER (DIETITIAN) |
| Authorized Official Telephone | 9376429037 |
| Authorized Official Credential | MS, RD, LD, CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
4353 TULLER RD STE K |
| City | DUBLIN |
| State | OH |
| Zip Code | 43017-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598977183 | Steven Menapace | Specialist/Technologist | 4353 Tuller Rd Ste K, Dublin, OH 43017-5071 | 2007-05-04 |
| 1063966984 | Alyssa Reau Broadwater | Dietitian, Registered | 4353 Tuller Rd Ste K, Dublin, OH 43017-5071 | 2016-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1356814560 | Trishaya Spain-austin | Behavior Technician | 545 Metro Place North, Suite 100, Dublin, OH 43017 | 2019-01-10 |
| 1669955902 | Tamara Moss | Occupational Therapist | 10516 Sawmill Road, Suite B, Dublin, OH 43017 | 2018-09-12 |
| 1548753692 | Complex Wound Consultant L.L.C. | Surgery | 5712 Southby Ct, Dublin, OH 43017 | 2018-06-13 |
| 1063916948 | Enabling Recovery LLC | Community/Behavioral Health | 5945 Sawmill Rd Ste B, Dublin, OH 43017 | 2018-03-23 |
| 1750898839 | Inner Health Chiropractic, Inc | Chiropractor | 220 West Bridge, Inner Health Chiropractic, Dublin, OH 43017 | 2018-01-10 |
| 1598274144 | Catherine Ann Albrecht | Case Manager/Care Coordinator | 525 Metro Place N., Dublin, OH 43017 | 2017-09-27 |
| 1346769338 | Rachel Mary Baldwin | Speech-Language Pathologist | 9892 Macdonald Dr., Dublin, OH 43017 | 2017-09-12 |
| 1629596275 | Julie Battaglia | Counselor | 525 Metro Place, Suite 100, Dublin, OH 43017 | 2017-09-05 |
| 1205365541 | Tracey Lechner | Speech-Language Pathologist | 7424 Coventry Woods Drive, Dublin, OH 43017 | 2017-06-09 |
| Find all providers in zip 43017 | ||||
| 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 |
|---|---|---|---|---|
| 1457965295 | Xuechen Pei | Dietitian, Registered | 6502 Timble Falls Dr, Dublin, OH 43016-7766 | 2020-08-31 |
| 1366069775 | Whitney Norma Leal Estrada | Dietitian, Registered | 5071 Round Hill Dr, Dublin, CA 94568-8806 | 2020-07-01 |
| 1306472089 | Rida Wali | Dietitian, Registered | 4635 Avery Ct, Dublin, CA 94568-4349 | 2020-03-13 |
| 1457704686 | Nader Armanios | Dietitian, Registered | 5516 Eaglebrook Ter, Dublin, CA 94568-1187 | 2016-07-22 |
| 1467804450 | Caitlin Sare | Dietitian, Registered | 2903 Christopher John Dr, Unit 304, Dublin, OH 43017-2921 | 2016-07-01 |
| 1295186716 | Whole Nutrition Perspectives LLC | Dietitian, Registered | 123 N Main St Ste 102c2, Dublin, PA 18917-2107 | 2016-06-27 |
| 1306273537 | Ann M Coogle | Dietitian, Registered | 107 Red Fox Run, Dublin, GA 31021-4359 | 2013-10-02 |
| 1841630670 | Poppy Anderson | Dietitian, Registered | 7315 Starward Dr Apt 57, Dublin, CA 94568-1861 | 2013-06-25 |
| 1932442282 | Cynthia Ann Berner | Dietitian, Registered | 5529 Parker Hill Ln, Dublin, OH 43017-3061 | 2013-04-04 |
| 1689964884 | Colleen Luther | Dietitian, Registered | 5858 Garden Grove Blvd, Dublin, OH 43017-2523 | 2011-04-10 |
| Find all providers in DUBLIN | ||||
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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.