DENISE FRYE (NPI# 1427027739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427027739 |
| Entity Type | Individual |
| Full Name | DENISE FRYE |
| Credential | NUTRITIONIST |
| Practice Address |
107 Woodbine Place #775 Longview TX 75608 |
| Practice Telephone | 9037578194 |
| Practice Fax Number | 9037578294 |
| Mailing Telephone | 9037578194 |
| Mailing Fax Number | 9037578294 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT03790 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 004781301 | 05 | |
| TX | 004781302 | 05 |
| Street Address |
107 WOODBINE PLACE #775 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639181548 | Andrea Petrovich | Counselor | 107 Woodbine Place, #775, Longview, TX 75608 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316067747 | Christina Sorrels | Speech-Language Pathologist | 107 Woodbine, #775, Longview, TX 75608 | 2007-03-30 |
| 1396724373 | Peter Yuk Cheung | Internal Medicine | 2401 South 31st Street, Temple, TX 75608 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225328 | Nia Lynshun Washington | Nurse's Aide | 1705 S Houston St, Longview, TX 75602-3317 | 2020-11-04 |
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1821699257 | Susan M Maddox | Registered Nurse | 4522 W Loop 281 Lot 25, Longview, TX 75604-5867 | 2020-11-03 |
| 1285234815 | Elizabeth Swanson | Behavior Technician | 1225 Commerce Ave Apt 206, Longview, WA 98632-3042 | 2020-11-01 |
| 1336749563 | Kelly Jo Rolland | Social Worker | 2904 4th St Ste 102, Longview, TX 75605-5124 | 2020-10-27 |
| 1033718226 | Joanne Camille Gabriel | Registered Nurse | 2600 E Loop 281, Longview, TX 75605-8402 | 2020-10-20 |
| 1154920247 | Lisa Kalynn Sanders | Nurse Practitioner | 2128 Page Creek Trl, Longview, TX 75601-0007 | 2020-10-20 |
| 1659970994 | Tiffany Williams | Licensed Vocational Nurse | 1400 H G Mosley Pkwy Apt 1308, Longview, TX 75604-4448 | 2020-10-19 |
| 1265030993 | Sarah Dawson | Nurse Practitioner | 2040 Eden Dr, Longview, TX 75601-3415 | 2020-10-14 |
| 1972101707 | Lasandra Easley | Licensed Vocational Nurse | 1211 Ravencrest Dr, Longview, TX 75605-1531 | 2020-10-14 |
| Find all providers in LONGVIEW | ||||
| 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 |
|---|---|---|---|---|
| 1760030456 | Stephanie Michelle Michael | Dietitian, Registered | 615 7th Ave # 17, Longview, WA 98632-1606 | 2019-08-27 |
| 1417447624 | Danyelle Bloomstrom | Dietitian, Registered | 600 Broadway St Ste 120, Longview, WA 98632-3256 | 2018-05-14 |
| 1609297431 | Candace Clark | Dietitian, Registered | 1615 Delware Street, Longview, WA 98632 | 2013-12-20 |
| 1659638963 | Stefanie Lynn Wilkerson | Dietitian, Registered | 770 Dennard St, Longview, TX 75605-8295 | 2012-04-12 |
| 1659691095 | Kristina R Macher | Dietitian, Registered | 712 N High St, Longview, TX 75601-5330 | 2010-06-08 |
| 1770524621 | Pamela Dawn Hignight | Dietitian, Registered | 1205 E Marshall Ave, Longview, TX 75601-5649 | 2006-06-10 |
| 1952364234 | Mary Lynn Vassar | Dietitian, Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2006-04-08 |
| 1023572351 | Kathleen Teresa Pittman | Dietitian, Registered | 1717 Olympia Way Ste 206, Longview, WA 98632-3929 | 2019-01-31 |
| 1619471505 | Susan Hughes | Dietitian, Registered | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2018-03-23 |
| 1255789152 | Erika Jeanne Luther | Dietitian, Registered | 1615 Delaware St, Longview, WA 98632-2367 | 2016-06-01 |
| Find all providers in LONGVIEW | ||||
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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.