SHELLEY PORTER (NPI# 1235273855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235273855 |
Entity Type | Individual |
Full Name | SHELLEY PORTER |
Credential | LRD |
Practice Address |
900 E Broadway Avenue Bismarck ND 58501 |
Mailing Address |
900 E Broadway Avenue P.o. Box 997 Bismarck ND 58502-0997 |
Practice Telephone | 7015307000 |
Practice Fax Number | 7015308842 |
Mailing Telephone | 7015307000 |
Mailing Fax Number | 7015308842 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2010-07-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 28 | ND | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871969170 | Shelley Denise Porter | Counselor | 105 Park Ave Apt 1b, East Orange, NJ 07017-5232 | 2015-08-20 |
Street Address |
900 E BROADWAY AVENUE |
City | BISMARCK |
State | ND |
Zip Code | 58501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558348193 | Timothy M. Gold | Anesthesiology | 900 E Broadway Avenue, Bismarck, ND 58501-4520 | 2005-12-26 |
1669884920 | Morris O Duffy | Physician Assistant | 900 E Broadway Avenue, Bismarck, ND 58501-4520 | 2014-05-21 |
1750561759 | Nicole M Sebastian | Speech-Language Pathologist | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-11-07 |
1336283928 | St Alexius Medical Center | Pharmacy | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
1063556652 | Gloria D Wolf | Nurse Practitioner | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
1376687046 | Gary Ritter | Nurse Anesthetist, Certified Registered | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
1184760043 | Valentine Wangler | Social Worker | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-29 |
1598819856 | John J Hagan | Internal Medicine | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-23 |
1356495592 | Melissa Horner | Nurse Practitioner | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-23 |
1841343191 | Jerry R Town | Nurse Anesthetist, Certified Registered | 900 E Broadway Avenue, Bismarck, NC 58501 | 2007-01-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
Find all providers in zip 58501 |
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 |
---|---|---|---|---|
1679110589 | John E Finn | Dietitian, Registered | 8500 106th St Se, Bismarck, ND 58504-4025 | 2019-12-10 |
1730737420 | Brianna N Wanner | Dietitian, Registered | 1953 Houston Dr, Bismarck, ND 58504-7208 | 2019-08-27 |
1770020455 | Tera Miller | Dietitian, Registered | 509 Cottonwood Loop, Bismarck, ND 58504-7411 | 2017-01-19 |
1932456589 | Rose M Johnson | Dietitian, Registered | 2019 Koch Dr, Bismarck, ND 58503-1240 | 2012-08-13 |
1922271501 | Cathy Ann Deics | Dietitian, Registered | 8300 White Oak Loop, Bismarck, ND 58501-9325 | 2008-04-04 |
1659469385 | Kristen M Blees | Dietitian, Registered | 1800 E Interstate Ave Ste C, Bismarck, ND 58503-1566 | 2006-10-10 |
1346856002 | Stephanie L Jensen | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4506 | 2020-09-18 |
1194343293 | Sierra Kolle | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-07-06 |
1437783701 | Danielle Rusch | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-02-26 |
1427524610 | Rachel Marie Iverson | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2018-10-16 |
Find all providers in BISMARCK |
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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.