KIMBERLY WICAL (NPI# 1437294998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437294998 |
| Entity Type | Individual |
| Full Name | KIMBERLY WICAL |
| Practice Address |
3000 Herring Ave Waco TX 76708-3239 |
| Mailing Address |
Po Box 20487 Waco TX 76702-0487 |
| Practice Telephone | 2542025631 |
| Practice Fax Number | 2542025651 |
| Mailing Telephone | 2542025631 |
| Mailing Fax Number | 2542025651 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT06940 | TX | Dietary & Nutritional Service Providers |
| Street Address |
3000 HERRING AVE |
| City | WACO |
| State | TX |
| Zip Code | 76708-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969805 | Diane D Wilson | Nurse Anesthetist, Certified Registered | 3000 Herring Ave, Waco, TX 76708-3239 | 2005-08-16 |
| 1760627194 | Melissa Xia | Dietitian, Registered | 3000 Herring Ave, Waco, TX 76708 | 2008-12-15 |
| 1538304605 | Lucinda Trippe Myers | Physical Medicine & Rehabilitation | 3000 Herring Ave, Waco, TX 76708-3239 | 2008-12-03 |
| 1437304748 | Hillcrest Baptist Medical Center | Skilled Nursing Facility | 3000 Herring Ave, Waco, TX 76708-3239 | 2008-12-01 |
| 1265681951 | Linda S. Marion | Dietitian, Registered | 3000 Herring Ave, Waco, TX 76708-3239 | 2008-09-17 |
| 1497931216 | Camela J Mojica | Dietitian, Registered | 3000 Herring Ave, 2f, Waco, TX 76708-3239 | 2008-01-10 |
| 1376725929 | Larry J Mundy Md Pa | Radiology | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-12-05 |
| 1245423607 | Heart of Texas Emergency Physicans | Emergency Medicine | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-08-20 |
| 1295928653 | Texas Em-1 Medical Services, Pa | Physician Assistant | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-08-20 |
| 1073636759 | Olivia Rae Freeman | Occupational Therapist | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| 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 |
|---|---|---|---|---|
| 1366049488 | Ifunanya Onyima | Dietitian, Registered | 2500 Marketplace Dr Apt 536, Waco, TX 76711-2440 | 2020-10-01 |
| 1013536754 | Regina Mastin | Dietitian, Registered | 714 Chapel View Rd, Waco, TX 76712-8183 | 2020-04-13 |
| 1891156790 | Ginger Elaine Sheppard | Dietitian, Registered | 710 N 64th St, Waco, TX 76710-4387 | 2016-03-19 |
| 1902290893 | Courtney De La Rosa | Dietitian, Registered | 2500 Marketplace Dr, Apt 413, Waco, TX 76711-2448 | 2015-03-27 |
| 1740446350 | Mary Kate Weems | Dietitian, Registered | 1109 Castle Bluff Cir, Waco, TX 76712-7565 | 2008-08-03 |
| 1306001581 | Audrey Alexandria Saage | Dietitian, Registered | 1956 W Elm Mott Dr, Waco, TX 76705-5302 | 2008-07-27 |
| 1316048275 | Cynda Patton Guinn | Dietitian, Registered | 7125 Sanger Avenue, Waco, TX 76712-4053 | 2006-09-25 |
| 1003348020 | Laura Joseph | Dietitian, Registered | 110 S 12th St, Waco, TX 76701-1810 | 2017-03-29 |
| 1417314402 | Janelle Walter | Dietitian, Registered | 110 S 12th St, Waco, TX 76701-1810 | 2016-01-21 |
| 1922465061 | Jennifer Phillippi | Dietitian, Registered | 110 S 12th St, Waco, TX 76701-1810 | 2016-01-20 |
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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.