JULIANNA FAULKNER REARDON (NPI# 1457619785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457619785 |
| Entity Type | Individual |
| Full Name | JULIANNA FAULKNER REARDON |
| Credential | R.D. |
| Practice Address |
1015 Bowles Ave Fenton MO 63026-2394 |
| Practice Telephone | 6364963330 |
| Practice Fax Number | 6364964985 |
| Mailing Telephone | 6364963330 |
| Mailing Fax Number | 6364964985 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 200126153 | MO | Dietary & Nutritional Service Providers |
| Street Address |
1015 BOWLES AVE |
| City | FENTON |
| State | MO |
| Zip Code | 63026-2394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982687059 | Robert Brunton Smith | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2005-11-22 |
| 1235756149 | Megan Poucher | Student in an Organized Health Care Education/Training Program | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2020-06-26 |
| 1598389306 | Andrew Richardson | Nurse Anesthetist, Certified Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2020-06-08 |
| 1538714688 | Galen Inpatient Physicians Inc. | Internal Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2019-08-06 |
| 1093360414 | Cep America LLC | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2019-08-02 |
| 1427525468 | Paige Cathleen Hagen | Pharmacist | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2018-10-29 |
| 1700303765 | Anne M Reeb | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-08-29 |
| 1851828297 | Erin Fagan | Occupational Therapist | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-05-16 |
| 1437681418 | Matthew Schwab | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-03-30 |
| 1144678285 | Wilka Yaneth Vincent | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2016-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| 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 |
|---|---|---|---|---|
| 1831725761 | Michelle Ferry | Dietitian, Registered | 11578 Farmhill Dr, Fenton, MI 48430-2532 | 2020-03-23 |
| 1679910046 | Julia Elizabeth Reynolds | Dietitian, Registered | 1020 Lee St, Fenton, MI 48430-1568 | 2013-05-26 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| 1316544737 | Cherry Tree Nutrition, LLC | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2020-10-08 |
| 1700303765 | Anne M Reeb | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-08-29 |
| 1144678285 | Wilka Yaneth Vincent | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2016-05-31 |
| 1316316516 | Rachel Pence | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2015-09-17 |
| 1457617672 | Patricia M Zelle | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2012-04-02 |
| 1053687426 | Shirley W Anderson | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2012-03-29 |
| 1104192004 | Fatima Imran Shah | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2012-03-26 |
| Find all providers in FENTON | ||||
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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.