MRS. JACKIE W BERRY (NPI# 1427387653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427387653 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE W BERRY |
| Practice Address |
886 Highway 411 N Etowah TN 37331-1912 |
| Practice Telephone | 4232633600 |
| Mailing Telephone | 4232633600 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LDN0000001639 | TN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | REGISTERED DIETITIAN | 877298 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770837734 | Jackie Berry | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860-3811 | 2012-10-30 |
| Street Address |
886 HIGHWAY 411 N |
| City | ETOWAH |
| State | TN |
| Zip Code | 37331-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156619 | Daniel Dorn Hignight Jr. | Nurse Anesthetist, Certified Registered | 886 Highway 411 N, Etowah, TN 37331-1912 | 2005-07-04 |
| 1730542309 | Athens Physicians Practice, LLC | Family Medicine | 886 Highway 411 N, Suite A, Etowah, TN 37331-1912 | 2016-03-31 |
| 1033585930 | Beckey Buck | Nurse Practitioner | 886 Highway 411 N, Etowah, TN 37331-1912 | 2015-08-13 |
| 1124456389 | Athens Regional Medical Center LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2013-10-28 |
| 1417399767 | Lachelle Renee Cardin | Occupational Therapy Assistant | 886 Highway 411 N, Etowah, TN 37331-1912 | 2013-07-26 |
| 1134480155 | Woods Memorial Hospital LLC | General Acute Care Hospital | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
| 1114288131 | Woods Memorial Hospital LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
| 1215298237 | Woods Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
| 1114288511 | Woods Memorial Hospital LLC | Psychiatric Unit | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-01 |
| 1770750341 | Appalachian Medical Services LLC | Emergency Medicine | 886 Highway 411 N, Etowah, TN 37331-1912 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081277 | K Va T Food Stores, Inc | Durable Medical Equipment & Medical Supplies | 841 Us 411 North, Etowah, TN 37331 | 2015-08-24 |
| 1891979969 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 410 Grady Road, Etowah, TN 37331 | 2007-12-24 |
| 1992835037 | Jarrett Swafford | Pharmacist | 733 Lawrence St, Etowah, TN 37331 | 2007-03-07 |
| 1982750402 | Yung Gil Lee | General Practice | 315 Grady Rd, Etowah, TN 37331 | 2007-01-26 |
| 1770636227 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 733 Lawrence Street, Etowah, TN 37331 | 2007-01-19 |
| 1356499172 | Tennessee Cancer Specialists, Pllc | Internal Medicine | Highway 411 North, Etowah, TN 37331 | 2007-01-08 |
| 1831265941 | Charles David Brown | Dentist | 920 Highway 411 North, Etowah, TN 37331 | 2006-11-28 |
| 1326066788 | Jeffrey Allan Anderson | Pharmacist | 725 Tennessee Ave, Etowah, TN 37331 | 2006-07-17 |
| 1316920135 | Air Evac Ems Inc | Ambulance | 100 Robinson St, Etowah, TN 37331 | 2005-11-25 |
| 1134185358 | Nathan Craig Trentham | Internal Medicine | 301 Grady Road, Etowah, TN 37331-0325 | 2006-04-25 |
| Find all providers in zip 37331 | ||||
| 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 |
|---|---|---|---|---|
| 1619578069 | Erin Dragutsky | Dietitian, Registered | 7260 Corsica Dr, Germantown, TN 38138-1632 | 2020-11-03 |
| 1447850912 | Edisonhealth LLC | Dietitian, Registered | 6122 Elizabethan Dr, Nashville, TN 37205-1222 | 2020-10-26 |
| 1831798990 | Haley Maturin | Dietitian, Registered | 145 Hopson Private Dr, Hampton, TN 37658-3068 | 2020-10-20 |
| 1659970960 | Lyndsey Cooper | Dietitian, Registered | 1060 W Creek Coyote Trl Apt 1507, Clarksville, TN 37042-8267 | 2020-10-19 |
| 1770181554 | Alexys Vogel | Dietitian, Registered | 55 Governors Way, Brentwood, TN 37027-8926 | 2020-10-13 |
| 1811594880 | Seena Maria Ferrari Curry | Dietitian, Registered | 237 Donna Dr, Hendersonville, TN 37075-4109 | 2020-10-02 |
| 1043817190 | Ellen Jones | Dietitian, Registered | 3140 Long Blvd Apt 206, Nashville, TN 37203-1278 | 2020-10-01 |
| 1760099634 | Madison Anne Templeton | Dietitian, Registered | 1403 Union Ave, Chattanooga, TN 37404-3427 | 2020-09-25 |
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1285247247 | Karman Meyer | Dietitian, Registered | 5723 Brentwood Meadows Cir, Brentwood, TN 37027-4417 | 2020-08-28 |
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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.