JENNIFER RACHELLE HOLMAN (NPI# 1417069782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417069782 |
| Entity Type | Individual |
| Full Name | JENNIFER RACHELLE HOLMAN |
| Other Name | JENNIFER RACHELLE BAILEY-HOLMAN |
| Credential | RD/LD-CDE |
| Practice Address |
408 S Cherry St Sallisaw OK 74955-6602 |
| Practice Telephone | 9187745074 |
| Mailing Telephone | 9187745074 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD1057 | OK | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OHCA DDSD WAIVER | 200057610B | 01 |
| OK | 200057610A | 05 | |
| OK | PART B | 8E279B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629594635 | Jennifer Rose Holman | Specialist/Technologist | 376 Hale St # 1077, Beverly, MA 01915-2096 | 2017-08-21 |
| 1639602022 | Jennifer Jean Holman | Behavioral Analyst | 971 N Gilbert Rd Ste 101, Gilbert, AZ 85234-3472 | 2017-04-04 |
| 1982915179 | Jennifer Lee Nash Holman | Pediatrics | Wfsm Department of Pediatrics, Medical Center Boulevard, Winston Salem, NC 27157-1081 | 2010-06-23 |
| 1710596358 | Jennifer Holman | Registered Nurse | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2020-07-29 |
| 1053954560 | Jennifer Holman | Dietitian, Registered | 3100 Douglas Blvd Ste 204, Roseville, CA 95661-3868 | 2019-10-28 |
| 1255893319 | Jennifer Luellen Holman | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2019-04-05 |
| 1194241752 | Jennifer Holman | Psychologist | 2411 Pathways Xing, Belleville, IL 62221-5885 | 2017-08-16 |
| 1942676663 | Jennifer Chaquinga Holman | Physician Assistant | 795 E 2nd St Ste 5, Pomona, CA 91766-2007 | 2015-08-17 |
| 1326458126 | Jennifer Diane Holman | Pharmacist | 2990 N Wayne St, Angola, IN 46703-9121 | 2014-05-01 |
| 1447354626 | Jennifer Dykes Holman | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2006-09-11 |
| Street Address |
408 S CHERRY ST |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| 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 |
|---|---|---|---|---|
| 1093800252 | Elise Rose Cooper-horne | Dietitian, Registered | 301 S. Jt Stites, Sallisaw, OK 74955 | 2006-10-04 |
| 1841461324 | Tabitha Joanne Ford | Dietitian, Registered | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2008-03-12 |
| 1467441824 | Natalie Elise Russell | Dietitian, Registered | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2005-10-18 |
| 1134117534 | Cheryl Gaines Johnson | Dietitian, Registered | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506411 | Candance Elaine Gabel | Dietitian, Registered | 220 S 2nd Ct, Stillwater, OK 74074-6732 | 2020-10-26 |
| 1326646852 | Lori Mathews | Dietitian, Registered | 2821 36th Ave Nw Ste 150, Norman, OK 73072-2472 | 2020-10-16 |
| 1437756947 | Malorie Scherf | Dietitian, Registered | 8751 N 97th East Ave Apt 917, Owasso, OK 74055-6887 | 2020-10-07 |
| 1154928216 | Shaina Sara Yohannan | Dietitian, Registered | 9028 Nw 84th St, Yukon, OK 73099-8677 | 2020-10-01 |
| 1598370066 | Laci N Patterson | Dietitian, Registered | 9401 Prosper Dr, Oklahoma City, OK 73151-8811 | 2020-09-11 |
| 1619586534 | Amanda Kate Tucker | Dietitian, Registered | 312 12th Ave Ne, Norman, OK 73071-5238 | 2020-07-27 |
| 1154939452 | Cornerstone Nutrition & Diabetes, Pllc | Dietitian, Registered | 2500 Boardwalk Ste 220, Norman, OK 73069-6593 | 2020-07-22 |
| 1558989335 | Angelica Martinez De Loera | Dietitian, Registered | 7761 Alameda St, Norman, OK 73026-3738 | 2020-07-08 |
| 1326665548 | Olivia Jean Trout | Dietitian, Registered | 4311 Se 57th St, Oklahoma City, OK 73135-3308 | 2020-07-03 |
| 1447875471 | Nicholas A Koemel | Dietitian, Registered | 3724 W 32nd Ave, Stillwater, OK 74074-1724 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
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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.