CHARISE ELLSWORTH (NPI# 1215117221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215117221 |
| Entity Type | Individual |
| Full Name | CHARISE ELLSWORTH |
| Credential | R.D.,L.D. |
| Practice Address |
900 W Ash St Deming NM 88030-4000 |
| Mailing Address |
801 Long River Ln Las Cruces NM 88007-4724 |
| Practice Telephone | 5755465448 |
| Mailing Telephone | 5759157727 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2012-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-0735 | NM | Dietary & Nutritional Service Providers |
| Street Address |
900 W ASH ST |
| City | DEMING |
| State | NM |
| Zip Code | 88030-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137421 | Brian A Stanton | Anesthesiology | 900 W Ash St, Deming, NM 88030-4000 | 2005-10-12 |
| 1730690363 | Charles Joseph Kara | Dietitian, Registered | 900 W Ash St, Deming, NM 88030-4000 | 2017-10-23 |
| 1841561404 | Deming Nursing Home Company LLC | Skilled Nursing Facility | 900 W Ash St, Deming, NM 88030-4000 | 2012-01-13 |
| 1386925709 | Deming Anesthesia Services LLC | Anesthesiology | 900 W Ash St, Deming, NM 88030-4000 | 2011-08-30 |
| 1891075446 | Deming Hospital Corporation | General Acute Care Hospital | 900 W Ash St, Deming, NM 88030-4000 | 2011-08-26 |
| 1811285638 | Deming Emergency Physicians | Emergency Medicine | 900 W Ash St, Deming, NM 88030-4000 | 2011-07-13 |
| 1679877476 | Angela D Frietze | Nurse Anesthetist, Certified Registered | 900 W Ash St, Deming, NM 88030-4000 | 2011-01-07 |
| 1528386794 | Kathleen Ann Brown | Nurse Practitioner | 900 W Ash St, Deming, NM 88030-4000 | 2010-05-12 |
| 1669705331 | Traci Waters | Nurse Anesthetist, Certified Registered | 900 W Ash St, Deming, NM 88030-4000 | 2009-09-14 |
| 1255536710 | John Wilson | Nurse Anesthetist, Certified Registered | 900 W Ash St, Deming, NM 88030-4000 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
| 1437621943 | Lloyd's Water Pal Corporation | Pharmacist | 622 West First Street, Soon Other At Other : 8700 East Fourth Street, Deming, NM 88030 | 2018-12-21 |
| 1649768672 | Beatrice Kasey Jackson | Behavior Technician | 1411 S Socorro St, Deming, NM 88030 | 2018-04-25 |
| 1376062174 | Suzzana M Weber | Social Worker | 1321 E Poplar Ave, Deming, NM 88030 | 2017-09-12 |
| 1477073823 | Rocky Mountain Holdings Ll C | Ambulance | 2865 Raymond J. Reed Blvd Se, Deming, NM 88030 | 2017-06-26 |
| 1124419627 | Ambercare Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 707 E Pine St, Suite A, Deming, NM 88030 | 2015-02-05 |
| 1508288598 | Brian Plasters | Case Manager/Care Coordinator | 9025 Hwy 377 Ne, Deming, NM 88030 | 2014-01-10 |
| 1275884785 | Marcos A Reyna | Counselor | 125 Chaparral Blvd. Nw, Deming, NM 88030 | 2012-09-24 |
| 1487963831 | Juanita A. Smith | Case Manager/Care Coordinator | 901 West Hickory, Deming, NM 88030 | 2010-10-04 |
| 1659504231 | Marylou H Lozano | Case Manager/Care Coordinator | 901 West Hickory St, Deming, NM 88030 | 2009-08-28 |
| Find all providers in zip 88030 | ||||
| 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 |
|---|---|---|---|---|
| 1659760965 | Jessica Marie Verbrugge | Dietitian, Registered | 7533 Canyon View Drive, Deming, WA 98244 | 2015-01-12 |
| 1730690363 | Charles Joseph Kara | Dietitian, Registered | 900 W Ash St, Deming, NM 88030-4000 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117661 | Jose Luis Guzman Jr. | Dietitian, Registered | 947 Cerrito Dr Apt A, Gallup, NM 87301-5421 | 2020-09-01 |
| 1184237075 | Kelly Ann Gardiner | Dietitian, Registered | 9123 Retablo Rd Nw, Albuquerque, NM 87120-7138 | 2020-08-28 |
| 1356954929 | Hannah Contrucci | Dietitian, Registered | 2920 Carlisle Blvd Ne Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
| 1083227656 | Advanced Nutrition Services, LLC | Dietitian, Registered | 2920 Carlisle Blvd Ne, Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
| 1366051997 | Uma Borkar | Dietitian, Registered | 4425 Ojo Caliente Cir, Las Cruces, NM 88011-4303 | 2020-07-29 |
| 1376152108 | Stephanie Faith Swarthout | Dietitian, Registered | 1401 10th St Ste E, Alamogordo, NM 88310-5012 | 2020-07-28 |
| 1912525445 | Sunrise Nutrition Services, LLC | Dietitian, Registered | 601 C Avenue, Zuni, NM 87327-8732 | 2020-07-10 |
| 1417575267 | Valerie Silver | Dietitian, Registered | 6225 Hannett Ave Ne, Albuquerque, NM 87110-5918 | 2020-07-08 |
| 1295350346 | Amanda Montano | Dietitian, Registered | 9928 Cielito Norte Way Ne, Albuquerque, NM 87122-3222 | 2020-06-15 |
| 1457974420 | Juliet Corley | Dietitian, Registered | 926 Madeira Dr Se, Albuquerque, NM 87108-3618 | 2020-05-25 |
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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.