KIMBERLY DAMROW (NPI# 1417488289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417488289 |
| Entity Type | Individual |
| Full Name | KIMBERLY DAMROW |
| Other Name | KIMBERLY JO WAVRUNEK |
| Credential | RD |
| Practice Address |
525 Airport Drive Oneida WI 54155-0935 |
| Mailing Address |
Po Box 365 Oneida WI 54155-0365 |
| Practice Telephone | 9208692711 |
| Mailing Telephone | 9208692711 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1073029 | WI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267347 | Kimberly Sue Damrow | Internal Medicine | 350 Heritage Way, #2100, Kalispell, MT 59901 | 2005-07-07 |
| Street Address |
525 AIRPORT DRIVE |
| City | ONEIDA |
| State | WI |
| Zip Code | 54155-0935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225317795 | Ann Marie Wells | Nurse Practitioner | 525 Airport Dr., Oneida, WI 54155 | 2011-08-15 |
| 1255363156 | Edward S Polzin | Dentist | 525 Airport Rd, Oneida, WI 54155 | 2006-07-07 |
| 1316979248 | Megan Hotchkiss | Physician Assistant | 2500 E Capitol Drive, Suite 3700, Appleton, WI 54155 | 2006-07-07 |
| 1215911706 | Oneida Community Health Center | Durable Medical Equipment & Medical Supplies | 525 Airprort Rd, Oneida, WI 54155 | 2005-11-30 |
| 1528322849 | Dianna Langner | Nurse Practitioner | 525 Airport Dr, Oneida, WI 54155 | 2012-07-02 |
| 1841556446 | Alyssa J Hudak | Dietitian, Registered | 525 Airport Rd, Oneida, WI 54155 | 2012-04-09 |
| 1780633669 | Ravinder Vir | Internal Medicine | 525 Airport Dr, Oneida, WI 54155 | 2006-05-09 |
| 1891165635 | Elizabeth Kelley | Counselor | Po Box 365, Oneida, WI 54155-0365 | 2015-10-06 |
| 1891192803 | Yvonne White | Dentist | 525 Airport Rd, Oneida, WI 54155-0935 | 2014-11-20 |
| 1649506080 | Oneida Tribe of Indians of Wisconsin | Health Educator | 525 Airport Rd, Oneida, WI 54155-0935 | 2009-10-20 |
| Find all providers in zip 54155 | ||||
| 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 |
|---|---|---|---|---|
| 1104489673 | Mollie Mcleod Tracy | Dietitian, Registered | 2057 Dream Catcher Plz, Oneida, NY 13421-2729 | 2019-04-19 |
| 1447728357 | Tina Jorgensen | Dietitian, Registered | 525 Airport Dr, Oneida, WI 54155-9035 | 2018-11-08 |
| 1396213476 | Carlissa Mae Spreeman | Dietitian, Registered | 525 Airport Dr, Oneida, WI 54155-9035 | 2018-11-07 |
| 1760950976 | Heidi Mccann | Dietitian, Registered | 525 Airport Dr, Oneida, WI 54155-9035 | 2018-11-06 |
| 1003323692 | Jackie L Havel | Dietitian, Registered | 525 Airport Dr, Oneida, WI 54155-9035 | 2018-01-04 |
| 1841556446 | Alyssa J Hudak | Dietitian, Registered | 525 Airport Rd, Oneida, WI 54155 | 2012-04-09 |
| 1205032547 | Sharon A Hoff | Dietitian, Registered | 321 Genesee St, Oneida, NY 13421-2611 | 2007-06-25 |
| 1174664056 | Michael J Washo | Dietitian, Registered | 2 Territory Rd, Oneida, NY 13421-9304 | 2007-02-12 |
| 1922160118 | Elizabeth Schwantes | Dietitian, Registered | 525 Airport Dr, Oneida, WI 54155-9035 | 2006-12-14 |
| 1770644189 | Elizabeth Scheelke | Dietitian, Registered | 525 Airport Dr, Oneida, WI 54155-9035 | 2006-12-12 |
| Find all providers in ONEIDA | ||||
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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.