JENNIFER ANN FLACK (NPI# 1396217360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396217360 |
Entity Type | Individual |
Full Name | JENNIFER ANN FLACK |
Credential | MPH, RDN, LDN, CDE |
Practice Address |
700 W Market St Athens AL 35611-2422 |
Mailing Address |
700 W Market St Nutrition & Diabetes Education Athens AL 35611 |
Practice Telephone | 2562339146 |
Mailing Telephone | 2562339146 |
Enumeration Date | 2019-01-01 |
Last Update Date | 2019-01-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
2631 | AL | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760920789 | Jennifer L Flack | Social Worker | 13321 W Indian School Rd, Ste A107, Litchfield Park, AZ 85340-4339 | 2017-02-09 |
1598041832 | Jennifer Lydia Flack | Counselor | 209 S Maple Ave, Greensburg, PA 15601-3216 | 2011-11-01 |
1821221631 | Jennifer Lenore Flack | Psychologist | 127 N River St, Fenton, MI 48430-3800 | 2009-08-26 |
Street Address |
700 W MARKET ST |
City | ATHENS |
State | AL |
Zip Code | 35611-2422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699778803 | Arthur Lynn Womble | Nurse Anesthetist, Certified Registered | 700 W Market St, Athens, AL 35611-2457 | 2005-05-23 |
1952957862 | Maizee Black Kelley | Nurse Anesthetist, Certified Registered | 700 W Market St, Athens, AL 35611-2457 | 2019-08-15 |
1346896784 | Jamia Moore | Nurse Anesthetist, Certified Registered | 700 W Market St, Athens, AL 35611-2457 | 2019-08-12 |
1114412525 | Kristy Elaine Parrish | Nurse Practitioner | 700 W Market St, Athens, AL 35611-2422 | 2018-06-27 |
1427553908 | Riddhi P Sutton | Nurse Practitioner | 700 W Market St, Athens, AL 35611-2457 | 2018-03-27 |
1932608429 | Natalee Jean Kilpatrick | Nurse Practitioner | 700 W Market St, Athens, AL 35611-2457 | 2018-02-09 |
1487162673 | Coty Michelle Webster | Specialist/Technologist, Other | 700 W Market St, Athens, AL 35611-2457 | 2018-01-22 |
1467969477 | Caroline Fogleman Mikach | Nurse Anesthetist, Certified Registered | 700 W Market St, Athens, AL 35611-2457 | 2017-12-29 |
1831634989 | North Alabama Specialty Hospital | Long Term Care Hospital | 700 W Market St, 2 South, Athens, AL 35611-2457 | 2016-12-28 |
1447701453 | Nash Physician Billing | Internal Medicine | 700 W Market St, Athens, AL 35611-2457 | 2016-10-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
1104467901 | Michael S Layman | Hearing Instrument Specialist | 809 Hwy 72 W., Steg, Suite G, Athens, AL 35611 | 2019-10-02 |
1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
1306293618 | Brady Aderholt | Nurse Practitioner | 411 N Houston St, Athens, AL 35611 | 2016-05-17 |
1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
1760819015 | William Todd Waggoner | Pharmacist | 104 Highway 31 North, Athens, AL 35611 | 2013-10-02 |
Find all providers in zip 35611 |
Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174676852 | Jennifer S. Dehart | Dietitian, Registered | 4845 Longmeadow Ln, Bessemer, AL 35022-7011 | 2007-01-18 |
1518015809 | Leigh A. Rutledge | Dietitian, Registered | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2007-01-05 |
1548281561 | Teodoro Pagulayan Cristobal | Dietitian, Registered | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2006-07-22 |
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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.