VERNON ROBERTSON (NPI# 1417405002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417405002 |
| Entity Type | Individual |
| Full Name | VERNON ROBERTSON |
| Practice Address |
400 S Chestnut St Aberdeen MS 39730-3335 |
| Practice Telephone | 6623692455 |
| Mailing Telephone | 6623692455 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062687 | Vernon Robertson | Clinic/Center | 818 Marquis Ct, Kissimmee, FL 34759-3828 | 2020-08-03 |
| Street Address |
400 S CHESTNUT ST |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710927215 | Pioneer Health Services of Monroe County, Inc. | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2006-06-07 |
| 1285102798 | Amy B Joslin | Nurse Practitioner | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2018-11-02 |
| 1124532320 | Enduracare Acute Care Services LLC | Clinic/Center | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-11-27 |
| 1710405741 | Boa Vida Hospital of Aberdeen, Ms, LLC | Medicare Defined Swing Bed Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-30 |
| 1689191629 | Boa Vida Hospital of Aberdeen, Ms, LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1982121067 | Boa Vida Hospital of Aberdeen, Ms, LLC | Medicare Defined Swing Bed Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1285164046 | Boa Vida Hospital of Aberdeen, Ms, LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-06-14 |
| 1538692074 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-11 |
| 1356874895 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-11 |
| 1801329834 | Lifebrite Hospital Group of Aberdeen LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1578638532 | Leonard J Goodgame Jr. | Dentist | 207 West Commerce, Aberdeen, MS 39730 | 2006-11-22 |
| 1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
| 1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
| 1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
| 1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| Find all providers in zip 39730 | ||||
| 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 |
|---|---|---|---|---|
| 1336749407 | Doretta Wright | Dietitian, Registered | 110 Highgrove Ct, Aberdeen, NC 28315-2149 | 2020-10-28 |
| 1093322497 | Julia Lynn Carney | Dietitian, Registered | 40 Brookview Ln, Aberdeen, NJ 07747-2337 | 2020-09-29 |
| 1215100813 | Avera St. Luke's | Dietitian, Registered | 105 S State St Ste 201, Aberdeen, SD 57401-4502 | 2008-04-04 |
| 1063079598 | Sea Mar Community Health Center | Dietitian, Registered | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2019-05-21 |
| 1114450947 | Kassy Montgomery | Dietitian, Registered | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2017-04-08 |
| 1841644978 | Linda Bartl | Dietitian, Registered | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2016-04-14 |
| 1659735215 | Lisa Ann Kopecky | Dietitian, Registered | 2905 3rd Ave Se, Aberdeen, SD 57401 | 2016-04-11 |
| 1245550011 | Danielle Renae Kleindl | Dietitian, Registered | 815 1st Ave Se Ste 104, Aberdeen, SD 57401-4602 | 2010-06-03 |
| 1346305448 | Area Four Senior Citizens Planning Council Inc. | Dietitian, Registered | 405 8th Ave Nw, Suite 203a, Area Iv Senior Nutrition, Aberdeen, SD 57401-2762 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427780 | Ronald Dwayne Woods | Dietitian, Registered | 1 Ashton Gardens Dr, Jackson, MS 39211-4275 | 2020-11-02 |
| 1720690845 | Timmi Unger Bishop | Dietitian, Registered | 188 Bream Rd, Mantachie, MS 38855-8571 | 2020-08-19 |
| 1033734348 | Jaclyn Wehrle | Dietitian, Registered | 122 Virginia Dr, Hattiesburg, MS 39401-5832 | 2020-06-11 |
| 1447875893 | Jaden Nichole Tabat | Dietitian, Registered | 400 Shadow Creek Dr Unit 400, Oxford, MS 38655-6227 | 2020-06-11 |
| 1467080580 | Kimberly Marie Chapman | Dietitian, Registered | 312 Pine Ridge Pt, Petal, MS 39465-4241 | 2020-04-01 |
| 1437783420 | Sara E Foster | Dietitian, Registered | 36 Craft Rd, Petal, MS 39465-9335 | 2020-02-27 |
| 1922639046 | Anna Brashier | Dietitian, Registered | 410 White Oak St, Waynesboro, MS 39367-2546 | 2020-01-28 |
| 1821628967 | Joanne Alison Levanway | Dietitian, Registered | 13701 Hidden Oaks Dr, Gulfport, MS 39503-7025 | 2020-01-16 |
| 1629615489 | Lynne Victoria Longman | Dietitian, Registered | 2424 Weeping Willow Cir, Hattiesburg, MS 39402-6090 | 2019-11-28 |
| 1083250187 | Heather Ruthann Jenkins | Dietitian, Registered | 2646 Cherry Tree Dr, Southaven, MS 38672-8016 | 2019-11-23 |
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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.