CLINTON CULLINS (NPI# 1447744156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447744156 |
| Entity Type | Individual |
| Full Name | CLINTON CULLINS |
| Credential | LDN |
| Practice Address |
1859 S Topaz Way Ste 100 Meridian ID 83642-4401 |
| Mailing Address |
175 E Hawthorn Pkwy Ste 235 Vernon Hills IL 60061-1454 |
| Practice Telephone | 2082092432 |
| Mailing Telephone | 8477378768 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D1039 | ID | Dietary & Nutritional Service Providers |
| Street Address |
1859 S TOPAZ WAY STE 100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649559360 | Ari Tarah Ewell Brooks | Social Worker | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2011-08-11 |
| 1144837725 | Yanet Nunez | Counselor | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2020-09-28 |
| 1528615986 | Nicole Morgan | Social Worker | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2019-08-21 |
| 1053877555 | Danielle Marcolina | Dietitian, Registered | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2019-02-20 |
| 1740746403 | Jacqlyn Raivo | Dietitian, Registered | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2019-02-18 |
| 1760946289 | Amanda Jacobs | Social Worker | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2019-01-29 |
| 1588133359 | Merrisa Chavez | Dietitian, Registered | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2018-11-21 |
| 1568956472 | Tambra Hunter | Social Worker | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2018-06-15 |
| 1154810109 | Mary Ginnetti | Dietitian, Registered | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2018-05-04 |
| 1356848261 | Melyssa Van Lydegraf | Social Worker | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2018-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1992310148 | Ellie Rock | Dietitian, Registered | 5424 N Sun Shimmer Ave, Meridian, ID 83646-5536 | 2020-09-14 |
| 1063035004 | Chrisann M Hinson | Dietitian, Registered | 4716 W Quaker Ridge Dr, Meridian, ID 83646-5042 | 2020-05-26 |
| 1609497551 | Aaron Robert Calvano | Dietitian, Registered | 5350 N Moose Creek Ave, Meridian, ID 83646-3639 | 2020-05-01 |
| 1154966547 | Gabrielle Boobar | Dietitian, Registered | 1303 E Central Dr, Meridian, ID 83642-7991 | 2019-11-09 |
| 1326530932 | Linda Kees | Dietitian, Registered | 520 S Eagle Rd Ste 1223, Meridian, ID 83642-6355 | 2018-05-31 |
| 1457868531 | Rachel Myers | Dietitian, Registered | 520 S Eagle Rd Ste 1229, Meridian, ID 83642-6355 | 2018-01-10 |
| 1366951261 | Kelsea Hopkins | Dietitian, Registered | 868 E Ringneck St, Meridian, ID 83646-4498 | 2017-09-22 |
| 1104352194 | Caylee Ketchum | Dietitian, Registered | 1098 E Winslow St, Meridian, ID 83642-4050 | 2017-05-11 |
| 1225562002 | Callie Miller | Dietitian, Registered | 934 N Stonehenge Way, Meridian, ID 83642-4000 | 2017-04-18 |
| 1205284213 | Andrea L Bailey | Dietitian, Registered | 5710 W Mattawa Dr, Meridian, ID 83646-7428 | 2016-05-31 |
| Find all providers in MERIDIAN | ||||
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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.