JM WELLNESS, LLC (NPI# 1235749359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235749359 |
| Entity Type | Organization |
| Organization Name | JM WELLNESS, LLC |
| Practice Address |
201 Donaghey Ave Conway AR 72035-5001 |
| Mailing Address |
1060 Applewood Dr Conway AR 72034-3538 |
| Practice Telephone | 5017336575 |
| Mailing Telephone | 5017336575 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | DR. JERRY MAYO (OWNER) |
| Authorized Official Telephone | 5017336575 |
| Authorized Official Credential | PHD, RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers | ||
| N | 133VN1201X | ||||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | JM WELLNESS, LLC | 1417 Nw 54th St, #426, Seattle, WA 98107-3561 |
| Street Address |
201 DONAGHEY AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72035-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831154335 | David Edward Strickland | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2006-04-18 |
| 1871123968 | Holly Jo Langster | Nurse Practitioner | 201 Donaghey Ave, Conway, AR 72035-5001 | 2020-01-17 |
| 1548810971 | Canyon Wes Barber | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-09-17 |
| 1205485778 | Aaron Smith | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-09-08 |
| 1093367666 | Dee Misenheimer Lance | Speech-Language Pathologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-07-12 |
| 1922669241 | Quincey Powell | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-06-26 |
| 1205390333 | Sarah Marie Szcinski | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2019-01-23 |
| 1487126652 | Jacob Riba | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2018-12-27 |
| 1275003303 | Halle Lambert | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5003 | 2018-12-02 |
| 1992270805 | Rachel Schichtl | Dietitian, Registered | 201 Donaghey Ave, Conway, AR 72035-5001 | 2018-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1720516289 | Wendy A Magbanua | Case Manager/Care Coordinator | 317 Lower Ridge Rd, Conway, AR 72035-0001 | 2017-05-30 |
| 1639227929 | Dominic L Moreno | Specialist/Technologist | 128 Uca Prince Ctr, 201 Donaghey, Conway, AR 72035-0001 | 2007-01-05 |
| 1770546152 | Ellen Epping | Specialist/Technologist | University of Central Arkansas, Prince Center 133e, Conway, AR 72035-0001 | 2006-04-07 |
| 1982667465 | Stephen David Hornor | Specialist/Technologist | University of Central Arkansas, Prince Center - Room 133c, Conway, AR 72035-0001 | 2006-04-07 |
| 1912543240 | University of Central Arkansas | Family Medicine | 201 Donaghey Ave Uca Student Health Center, Conway, AR 72035-5001 | 2019-11-21 |
| 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 |
|---|---|---|---|---|
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1083116941 | Whitney Marie Holland | Dietitian, Registered | 3475 Malvern Hill Rd, Conway, AR 72032-9163 | 2018-03-06 |
| 1104204270 | Erick Keith Mccarthy | Dietitian, Registered | 18 Water Oak Dr, Conway, AR 72034-3430 | 2015-05-11 |
| 1154627800 | Charity Ashworth | Dietitian, Registered | 700 Salem Rd, Conway, AR 72034-4818 | 2011-01-28 |
| 1760705222 | Alane Scheider | Dietitian, Registered | 500 Hiland Ave, Conway, PA 15027-1464 | 2010-03-11 |
| 1013240928 | Janet A Dance | Dietitian, Registered | 2125 Desha Dr, Conway, AR 72034-7394 | 2009-09-09 |
| 1528209558 | Nina L. Roofe | Dietitian, Registered | 12 Sarah Ln, Conway, AR 72032-9049 | 2009-03-21 |
| 1144244302 | Karen Nichole Thompson | Dietitian, Registered | 2125 College Avenue, Conway, AR 72034 | 2006-07-27 |
| 1366059560 | Lori Jean Dather | Dietitian, Registered | 603 Harkrider St, Conway, AR 72032-5633 | 2020-09-30 |
| 1720605900 | Kristen Nicole Shores | Dietitian, Registered | 150 E Siebenmorgen Rd, Conway, AR 72032-4000 | 2020-07-03 |
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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.