MRS. DONNA P DECAILLE (NPI# 1437102530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437102530 |
Entity Type | Individual |
Full Name | MRS. DONNA P DECAILLE |
Credential | RD |
Practice Address |
1922 Highway 74 N Suite D Tyrone GA 30290-1660 |
Practice Telephone | 4047970528 |
Practice Fax Number | 6784898957 |
Mailing Telephone | 4047970528 |
Mailing Fax Number | 6784898957 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2010-06-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | LD002627 | GA | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 24020797A | 05 |
Street Address |
1922 HIGHWAY 74 N SUITE D |
City | TYRONE |
State | GA |
Zip Code | 30290-1660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093036253 | Envision Nutrition Inc. | Dietitian, Registered | 1922 Highway 74 N, Suite D, Tyrone, GA 30290-1660 | 2010-06-22 |
1023183035 | Ace Orthodontics and Dentistry,llc | Dentist | 1922 Highway 74 N, Ste. E, Tyrone, GA 30290-1660 | 2006-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
Find all providers in zip 30290 |
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 |
---|---|---|---|---|
1093036253 | Envision Nutrition Inc. | Dietitian, Registered | 1922 Highway 74 N, Suite D, Tyrone, GA 30290-1660 | 2010-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
1033717830 | Ariathni Pinacas Powell | Dietitian, Registered | 5761 Hancock Dr, Social Circle, GA 30025-4705 | 2020-10-14 |
1467050716 | Louise Brown | Dietitian, Registered | 4075 Cherry Grove Rd, Ball Ground, GA 30107-3295 | 2020-10-09 |
1154928513 | Alicia Adams Polk | Dietitian, Registered | 360 Southgate Dr, Locust Grove, GA 30248-4235 | 2020-10-07 |
1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
1881291532 | Noelle Yaeger Oleary | Dietitian, Registered | 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 | 2020-10-06 |
1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
1356948293 | Brittany Mitchell Moment | Dietitian, Registered | 2913 Allie Rd, Greenville, GA 30222-2337 | 2020-10-05 |
1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. DONNA P DECAILLE.
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.