MISTY DAWN BLOUGH HILDENBRAND


Address: 401 9th Ave Nw, Watertown, SD 57201-1548
Phone: 6058827874

MISTY DAWN BLOUGH HILDENBRAND (NPI# 1194292987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194292987
Entity Type Individual
Full Name MISTY DAWN BLOUGH HILDENBRAND
Credential MS, RD, LN
Practice Address 401 9th Ave Nw
Watertown
SD 57201-1548
Mailing Address 29 6th St Ne
Watertown
SD 57201-3716
Practice Telephone 6058827874
Enumeration Date 2018-10-30
Last Update Date 2018-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 401 9TH AVE NW
City WATERTOWN
State SD
Zip Code 57201-1548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669477287 Steven E Miller Internal Medicine 401 9th Ave Nw, Watertown, SD 57201-1548 2005-06-20
1306485172 Haley Marie Ellis Registered Nurse 401 9th Ave Nw, Watertown, SD 57201-1548 2019-12-27
1871136549 Shelly Eileen Holida Speech-Language Pathologist 401 9th Ave Nw, Watertown, SD 57201-1599 2019-10-24
1366916645 Kari Ann Berg Registered Nurse 401 9th Ave Nw, Watertown, SD 57201-1548 2019-01-19
1548778897 Heidi Wirtjes Social Worker 401 9th Ave Nw, Watertown, SD 57201-1548 2018-01-19
1134637796 Amanda L Schaeffer Social Worker 401 9th Ave Nw, Watertown, SD 57201-1548 2018-01-17
1063920890 Sara Leigh Crawford Foust Social Worker 401 9th Ave Nw, Watertown, SD 57201-1548 2018-01-15
1972023083 Katelynn Elizabeth Bailey Emergency Medicine 401 9th Ave Nw, Watertown, SD 57201-1548 2017-06-21
1811431877 Megan Merkel Nurse Practitioner 401 9th Ave Nw, Watertown, SD 57201-1548 2016-12-10
1316493208 Sara Berreth Dietitian, Registered 401 9th Ave Nw, Watertown, SD 57201-1548 2016-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245878032 Samantha Kay Kratovil Dietitian, Registered 4 19th St Ne, Watertown, SD 57201 2019-12-12
1326516501 Edgewood Watertown Mc 2 LLC Assisted Living Facility 225 14 Ave Ne, Watertown, SD 57201 2018-11-06
1023503406 Rhonda Jean Cyre Occupational Therapy Assistant 613 B 1st Ave Se, Watertown, SD 57201 2018-06-27
1083160717 Joyce Anderson Psychologist 1124 Konrady Dr. Ne, Watertown, SD 57201 2016-09-01
1336584630 Jeffrey Alan Dorrity Otolaryngology 1201 Mickelson Dr, Watertown, SD 57201 2013-05-01
1427397389 Vickie Lynn Burchatz Occupational Therapy Assistant 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 2013-02-12
1215292560 Eagle Vision Eyewear Supplier (Equipment, not the service) 906 1/2 9th Ave Se, Watertown, SD 57201 2012-07-11
1669777462 Eve Lynn Hensler Audiologist 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 2011-01-26
1760792261 Maria Redmond Physical Therapist 810 South Maple, Watertown, SD 57201 2010-10-18
1194918995 Colette Wheeler Occupational Therapist 17330, 458th Ave, Watertown, SD 57201 2007-08-24
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003448085 Mariana Olga Serback Dietitian, Registered 19500 Woodside Dr, Watertown, NY 13601-4458 2020-02-07
1245878032 Samantha Kay Kratovil Dietitian, Registered 4 19th St Ne, Watertown, SD 57201 2019-12-12
1265097984 Sarah Zappone Dietitian, Registered 350 Claxton Ave, Watertown, CT 06795-1947 2019-05-08
1619452059 Rachel M Caine Dietitian, Registered 83 Palfrey St, Watertown, MA 02472-4705 2018-10-02
1861990400 Hannah Meier Dietitian, Registered 40 Fuller Rd, Watertown, MA 02472-3313 2018-01-29
1780112763 Devon Haines Dietitian, Registered 23 Main St Fl 2, Watertown, MA 02472-4403 2017-06-02
1003266453 Watertown Urban Mission Dietitian, Registered 247 Factory St, Watertown, NY 13601-2748 2016-06-16
1164812913 Anne Godina Dietitian, Registered 300 Woodview Way, Unit 216, Watertown, MA 02472-4847 2015-02-02
1083029094 Mount Auburn Athletic Club, Inc. Dietitian, Registered 57 Coolidge Ave, Watertown, MA 02472-2802 2014-06-27
1669883567 Megan Wiesner Dietitian, Registered 3336 17th Ave Sw, Watertown, SD 57201-6005 2014-05-13
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Competitor

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City WATERTOWN
Zip Code 57201

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Dataset Information

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.

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