EDITH WADE (NPI# 1235347121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235347121 |
| Entity Type | Individual |
| Full Name | EDITH WADE |
| Credential | L.D. |
| Practice Address |
17280 Highway 17 South Lexington MS 39095-0479 |
| Mailing Address |
211 Boulevard St Lexington MS 39095-3530 |
| Practice Telephone | 6628341857 |
| Practice Fax Number | 6628341859 |
| Mailing Telephone | 6012601254 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 726330 | MS | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | LICENSED DIETICTIAN | D0482 | 01 |
| MS | 03300362 | 05 |
| Street Address |
17280 HIGHWAY 17 SOUTH |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095-0479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831150531 | Harsh Doshi | Family Medicine | 17280 Highway 17 South, Lexington, MS 39095 | 2006-03-31 |
| 1336358951 | Stellanda M Davis | Marriage & Family Therapist | 17280 Highway 17 South, Lexington, MS 39095-0479 | 2007-05-21 |
| 1740308873 | Mallory Community Health | Clinic/Center | 17280 Highway 17 South, Lexington, MS 39095 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| Find all providers in zip 39095 | ||||
| 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 |
|---|---|---|---|---|
| 1093332074 | Yolanda Letrice Jackson | Dietitian, Registered | 1024 Greendale Rd Unit 14103, Lexington, KY 40511-8350 | 2020-06-25 |
| 1669093282 | Karen Kay Klefot | Dietitian, Registered | 1401 Harrodsburg Rd Ste A410, Lexington, KY 40504-3801 | 2020-05-05 |
| 1013543172 | Kelly Blackburn | Dietitian, Registered | 711 Hambrick Ave, Lexington, KY 40508-2307 | 2020-03-19 |
| 1477102614 | Candice Belle Tufano | Dietitian, Registered | 2184 Winterberry Dr Apt B, Lexington, KY 40504-3251 | 2019-09-10 |
| 1225694789 | Ida Marie Ibarra Rodriguez | Dietitian, Registered | 2692 Braden Way, Lexington, KY 40509-8571 | 2019-05-10 |
| 1215591185 | Erin Casey | Dietitian, Registered | 220 Strawberry Fields Rd, Lexington, KY 40516-9759 | 2019-04-26 |
| 1497220313 | Todd Meek | Dietitian, Registered | 2681 Red Leaf Dr, Lexington, KY 40509-1742 | 2018-10-06 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1447747282 | Sarah Ann Czarnecki | Dietitian, Registered | 752 Clayvis Ct, Lexington, KY 40515-6328 | 2018-04-17 |
| 1215449178 | University of Kentucky | Dietitian, Registered | 2195 Harrodsburg Road, Suite 125, Uk Healthcare At Turfland-barnstable Brown Diabetes Cen, Lexington, KY 40504-3504 | 2017-11-01 |
| Find all providers in LEXINGTON | ||||
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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.