EMILY CLAIRE PELHAM (NPI# 1407467343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407467343 |
| Entity Type | Individual |
| Full Name | EMILY CLAIRE PELHAM |
| Credential | MS, RDN |
| Practice Address |
16601 N 12th St Apt 2051 Phoenix AZ 85022-7720 |
| Practice Telephone | 9282216474 |
| Mailing Telephone | 9282216474 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86115601 | AZ | Dietary & Nutritional Service Providers |
| Street Address |
16601 N 12TH ST APT 2051 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| 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 |
|---|---|---|---|---|
| 1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
| 1255956264 | Carrie Standage-beier | Dietitian, Registered | 6831 S 42nd Pl, Phoenix, AZ 85042-5209 | 2020-06-15 |
| 1447875513 | Tyler M Florek | Dietitian, Registered | 13815 N 34th Ave, Phoenix, AZ 85053-5611 | 2020-06-14 |
| 1467074468 | Caitlin May Winsor | Dietitian, Registered | 4040 E San Gabriel Ave, Phoenix, AZ 85044-1328 | 2020-05-12 |
| 1366083883 | Cameron Scholtz | Dietitian, Registered | 2138 E Lawrence Rd, Phoenix, AZ 85016-1118 | 2019-10-06 |
| 1588219745 | Jordan S Jurek | Dietitian, Registered | 3815 E Bell Rd # 4250, Phoenix, AZ 85032-2122 | 2019-08-05 |
| 1255984035 | Rachel Lyn Masser | Dietitian, Registered | 2810 E Thomas Rd, Phoenix, AZ 85016-8010 | 2019-07-19 |
| 1811555915 | Laurie Bradley Mcdonald | Dietitian, Registered | 13842 S 32nd St, Phoenix, AZ 85044-3615 | 2019-06-03 |
| 1083270821 | Kaitlyn C Werner | Dietitian, Registered | 3815 E Bell Rd Ste 4250, Phoenix, AZ 85032-2122 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| Find all providers in PHOENIX | ||||
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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.