MS. ALYSSA MARIE HINES (NPI# 1396221073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396221073 |
| Entity Type | Individual |
| Full Name | MS. ALYSSA MARIE HINES |
| Credential | RDN, LD |
| Practice Address |
921 S 8th Ave Stop 8311 Pocatello ID 83209-8375 |
| Practice Telephone | 2085390186 |
| Mailing Telephone | 2085390186 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D-991 | ID | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851569669 | Alyssa Ann Hines | Nurse Anesthetist, Certified Registered | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2008-02-14 |
| Street Address |
921 S 8TH AVE STOP 8311 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83209-8375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124040506 | Michael John Doyle | Physician Assistant | 921 S 8th Ave Stop 8311, Pocatello, ID 83209-0002 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093097081 | Eydie Kendall | Physical Therapist | 1400 Terry Drive, Pocatello, ID 83209 | 2011-09-15 |
| 1548548589 | Corrie Elizabeth Holmes | Audiologist | 650 Memorial Drive Building 68, Pocatello, ID 83209 | 2011-07-25 |
| 1730351081 | Idaho State University | Pharmacy | 990 South 8th, Pocatello, ID 83209 | 2008-03-27 |
| 1922204551 | Melody Ann Weaver | Nurse Practitioner | 921 S 8th Ave Stop 8101, Pocatello, ID 83209 | 2007-06-21 |
| 1710482500 | Ashley Letson | Specialist/Technologist | 921 S 8th Ave, Mcintosh Manor D9, Pocatello, ID 83209 | 2018-03-26 |
| 1407261407 | Stephen B Grandy | Dentist | 465 Memorial Drive, Pocatello, ID 83209-0000 | 2014-06-27 |
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1639658248 | Luis Rodriguez | Psychologist | 1400 Eas Terry Dr Bldg 63 Garrison Hall 5th Floor, Pocatello, ID 83209-0001 | 2018-08-14 |
| 1205384484 | Max Esposito | Physical Medicine & Rehabilitation | 1400 E Terry Dr, Pocatello, ID 83209-0001 | 2016-09-15 |
| Find all providers in zip 83209 | ||||
| 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 |
|---|---|---|---|---|
| 1467093682 | Stephanie Lynn Fisher | Dietitian, Registered | 1066 Yellowstone Ave Apt 61, Pocatello, ID 83201-4430 | 2019-09-30 |
| 1952812067 | Natalie Chase Christensen | Dietitian, Registered | 444 Hospital Way Ste 701, Pocatello, ID 83201-2744 | 2017-10-16 |
| 1457738478 | Rachel Ewing | Dietitian, Registered | 533 N Hayes Ave, Pocatello, ID 83204-3023 | 2015-04-28 |
| 1710391669 | Tracy Jo Green | Dietitian, Registered | 705 Ebony St, Pocatello, ID 83201-5643 | 2014-06-19 |
| 1033544580 | Abby Jan Wilson | Dietitian, Registered | 957 Hospital Way Bldg D, Pocatello, ID 83201-5096 | 2013-09-03 |
| 1043598832 | Tiffany Topliff | Dietitian, Registered | 1684 Glacier St, Pocatello, ID 83201-2209 | 2011-07-27 |
| 1699705087 | Karen Diane Donaldson | Dietitian, Registered | 845 W Center St # 208, Pocatello, ID 83204-4205 | 2006-07-03 |
| 1144738048 | Jessica Badaracco Griffel | Dietitian, Registered | 990 Cesar Chavez Ave, Pocatello, ID 83209-0001 | 2018-01-14 |
| 1922431345 | Misty A Roberts | Dietitian, Registered | 2302 E Terry St, Pocatello, ID 83201-2733 | 2013-08-21 |
| 1154690543 | Joanna Kelley Davidson | Dietitian, Registered | 777 Hospital Way, Building A, Suite 201, Pocatello, ID 83201-5175 | 2011-12-14 |
| Find all providers in POCATELLO | ||||
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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.