JODELLE FITZWATER (NPI# 1326510009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326510009 |
| Entity Type | Individual |
| Full Name | JODELLE FITZWATER |
| Credential | NTP |
| Practice Address |
422 Castle Rock Road Reeds Spring MO 65737 |
| Mailing Address |
Po Box 581 Kimberling City MO 65686-0581 |
| Practice Telephone | 4172300554 |
| Mailing Telephone | 4172300554 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
422 CASTLE ROCK ROAD |
| City | REEDS SPRING |
| State | MO |
| Zip Code | 65737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619038 | William Molenaar | Pharmacist | 18401 State Hwy 13, Branson West, MO 65737 | 2020-11-05 |
| 1477167740 | Heritage Biologics, Inc. | Home Infusion | 18942 Highway 13, Branson West, MO 65737 | 2020-09-03 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1720624026 | Lindsey Grace Hejlek | Physical Therapist | 16914 Mo-13, Branson West, MO 65737 | 2019-11-21 |
| 1538721444 | Brandon Kratz | Dentist | 18020 Business 13 Suite E, Branson West, MO 65737 | 2019-07-01 |
| 1285109041 | Branson Kidney Center LLC | Clinic/Center | 17829 Bus 13, Branson West, MO 65737 | 2018-10-09 |
| 1669952263 | Regional Services | Nurse Practitioner | 300 Wolves Ln, Reeds Spring, MO 65737 | 2018-08-14 |
| 1699149575 | Megan Key | Counselor | 18593 Business 13 Ste 104-106, Branson West, MO 65737 | 2015-11-16 |
| 1255767828 | Annette Vorhoff | Nurse Practitioner | 108 Sunny Lane, 360 Degree Medicine, Branson, MO 65737 | 2013-09-16 |
| 1275976938 | Janette Mae Feuerstein | Registered Nurse | 1188 Hampton Road, Reeds Spring, MO 65737 | 2013-04-12 |
| Find all providers in zip 65737 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801709 | Amelia Claire Stone | Nutritionist | 130 S Barat Ave, Saint Louis, MO 63135-2120 | 2020-11-06 |
| 1417513334 | Allison Nicole Lesko | Nutritionist | 12134 Trentmore Pl, Saint Louis, MO 63127-1407 | 2019-05-15 |
| 1518460278 | Sandra Renae Abron | Nutritionist | 415 Chez Paree Dr Ste F, Hazelwood, MO 63042-3599 | 2018-03-08 |
| 1629489471 | John Lewis | Nutritionist | 744 E Swon Ave, Saint Louis, MO 63119-4228 | 2014-05-14 |
| 1861821704 | Lisa Murray Reid | Nutritionist | 1901 Teresa Fields Ln, Lake St Louis, MO 63367-6422 | 2013-11-01 |
| 1730471533 | Christy Louise Jenkins | Nutritionist | 1853 Sherman Drive, Suite A, Saint Charles, MO 63303-1507 | 2011-05-11 |
| 1518262146 | Leighanne Collier | Nutritionist | 910 Rodney Vista Blvd, Cape Girardeau, MO 63701-4351 | 2011-01-12 |
| 1629306949 | Clare Mary Fleming | Nutritionist | 205 N Commercial St Ste D, Seymour, MO 65746-8859 | 2009-11-24 |
| 1982700175 | Nutrition Works, LLC | Nutritionist | 6800 N 26th St, Ozark, MO 65721-5890 | 2006-09-15 |
| 1811534647 | T.a.v.e.r.n. Health and Wellness, LLC | Nutritionist | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2019-11-27 |
| Find all providers with the same taxonomy | ||||
| City | REEDS SPRING |
| Zip Code | 65737 |
Please comment or provide details below to improve the information on JODELLE FITZWATER.
| 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.