NICOLE LUSK (NPI# 1164897252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164897252 |
| Entity Type | Individual |
| Full Name | NICOLE LUSK |
| Practice Address |
120 E Harris Ave San Angelo TX 76903-5904 |
| Practice Telephone | 3254818532 |
| Mailing Telephone | 3254818532 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT84059 | TX | Dietary & Nutritional Service Providers |
| Street Address |
120 E HARRIS AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455113 | Michael F Carper | Pharmacist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2005-05-24 |
| 1083185565 | Stephanie Lauren Hayes | Nurse Practitioner | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-12-10 |
| 1326556283 | Erin E Miller | Occupational Therapist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-01-12 |
| 1700398484 | Jacob Webster | Physician Assistant | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2017-11-02 |
| 1518322890 | Justina Casiano | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-30 |
| 1114392040 | Megan Webb | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-03 |
| 1316312341 | Chelsie Jenna Barnes | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-02 |
| 1881069912 | Tiffany Rohmfeld | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1750756888 | Jessica Butts | Dietitian, Registered | 120 E Harris Ave, Food & Nutrition Dept, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1124400544 | Seth Sturdivant | Family Medicine | 120 E Harris Ave, San Angelo, TX 76903 | 2015-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| 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 |
|---|---|---|---|---|
| 1245787811 | Odomrd, LLC | Dietitian, Registered | 2533 Colorado Ave, San Angelo, TX 76904-3653 | 2016-09-01 |
| 1992840755 | Ruth E Anderson | Dietitian, Registered | 120 East Harris, San Angelo, TX 76903 | 2007-02-20 |
| 1144239898 | Tamara M Hargett | Dietitian, Registered | 301 W Beauregard Ave, Suite 202a, San Angelo, TX 76903-6370 | 2006-08-05 |
| 1114488137 | Carol Elissa Reyes | Dietitian, Registered | 5502 Sherwood Way, San Angelo, TX 76901-5609 | 2019-03-31 |
| 1518322890 | Justina Casiano | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-30 |
| 1114392040 | Megan Webb | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-03 |
| 1316312341 | Chelsie Jenna Barnes | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-02 |
| 1881069912 | Tiffany Rohmfeld | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1750756888 | Jessica Butts | Dietitian, Registered | 120 E Harris Ave, Food & Nutrition Dept, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1669775839 | Joan Smith | Dietitian, Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2010-12-10 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
Please comment or provide details below to improve the information on NICOLE LUSK.
| 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.