CARRIE WEATHERHOLT (NPI# 1215226964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215226964 |
| Entity Type | Individual |
| Full Name | CARRIE WEATHERHOLT |
| Credential | R.D., L.D. |
| Practice Address |
1 Jefferson Barracks Rd Saint Louis MO 63125-4181 |
| Practice Telephone | 3148946629 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2003002946 | MO | Dietary & Nutritional Service Providers |
| Street Address |
1 JEFFERSON BARRACKS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63125-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686347 | Vincent Joseph Deblaze | Pharmacist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2006-04-04 |
| 1952952905 | Dedra M Echols | Nurse Practitioner | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2019-09-20 |
| 1437714243 | Christina Rae Di Iorio Karageorgiou | Psychologist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2019-05-07 |
| 1871039602 | Brittany Zaring | Dietitian, Registered | 1 Jefferson Barracks Rd, Bldg 1, C3014, Saint Louis, MO 63125-4181 | 2017-01-18 |
| 1467822064 | Sandra Fox | Registered Nurse | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2015-09-25 |
| 1255766598 | Lisa M Akers-smith | Dietitian, Registered | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2013-09-05 |
| 1972945582 | Jennifer Christine King | Psychologist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2013-07-24 |
| 1063771988 | Elizabeth Russell | Pharmacist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2012-05-12 |
| 1376875047 | David D. Burke | Specialist | 1 Jefferson Barracks Rd, St. Louis Va Medical Center Bldg. 1 #2c1, Saint Louis, MO 63125-4181 | 2010-02-05 |
| 1972759231 | Ronda Lynn Keeney | Clinical Nurse Specialist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| 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 |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1063025153 | Macia Noorman | Dietitian, Registered | 2336 S Grand Blvd, Saint Louis, MO 63104-1755 | 2020-08-28 |
| 1447863865 | Serena E Mcphail | Dietitian, Registered | 3959a Potomac St, Saint Louis, MO 63116-3703 | 2020-08-25 |
| 1700496486 | Jennifer Ann Stripling | Dietitian, Registered | 12417 Dunedin Ln Apt 101, Saint Louis, MO 63146-2823 | 2020-08-06 |
| 1528677119 | Colleen E Madden | Dietitian, Registered | 5528 Pershing Ave Apt 205, Saint Louis, MO 63112-1769 | 2020-07-29 |
| 1043836315 | Abigail Debera Hallmark | Dietitian, Registered | 3510 Wyoming St Apt A, Saint Louis, MO 63118-2021 | 2020-06-22 |
| 1275163511 | Laura M Cusumano | Dietitian, Registered | 32 Oak Park Dr, Saint Louis, MO 63141-8428 | 2020-01-24 |
| 1689216871 | Healthy Bytes Solutions LLC | Dietitian, Registered | 20 S Sarah St, Saint Louis, MO 63108-2819 | 2019-10-09 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63125 |
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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.