BLANCHE A. DELOACH (NPI# 1477548576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477548576 |
| Entity Type | Individual |
| Full Name | BLANCHE A. DELOACH |
| Credential | RD, LD |
| Practice Address |
122 Gordon Commercial Dr Lagrange GA 30240-5740 |
| Mailing Address |
104 Willowcrest Way Lagrange GA 30240-6316 |
| Practice Telephone | 7068454035 |
| Mailing Telephone | 7068454035 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD001278 | GA | Dietary & Nutritional Service Providers |
| Street Address |
122 GORDON COMMERCIAL DR |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831711340 | Elizabeth Berry | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2020-05-07 |
| 1891314175 | Jennifer Harper | Social Worker | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2020-04-16 |
| 1942846381 | Hanna Cook | Behavior Technician | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2019-11-20 |
| 1952862286 | Kaneisha Mack | Peer Specialist | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2019-03-28 |
| 1295295756 | Lanisha Carmen Rivers | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2019-03-21 |
| 1427505981 | Kasey Ross | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2016-09-01 |
| 1124498951 | Baxlee Bynum | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2015-10-06 |
| 1225473598 | Shawn Allen Droge | Marriage & Family Therapist | 122 Gordon Commercial Dr, Suite D, Lagrange, GA 30240-5754 | 2013-05-01 |
| 1508121211 | Meribeth Pillot | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2012-07-09 |
| 1518029370 | Marcia Capshaw | Social Worker | 122 Gordon Commercial Dr, Suite D, Lagrange, GA 30240-5754 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1720339963 | Zainab Kazmi | Dietitian, Registered | 1235 Hogansville Rd, 722, Lagrange, GA 30241-6611 | 2012-09-27 |
| 1609860014 | Heather Tomlinson Coggins | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2005-08-31 |
| 1801218912 | Claude Mask IIi | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2014-01-08 |
| 1932475092 | Charleen A Sibley | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2012-03-22 |
| 1225342124 | Clairnelle Wood Wilkerson | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2010-08-03 |
| 1083928998 | Claudia H Weekes | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2010-08-03 |
| 1356664247 | West Georgia Medical Center, Inc. | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2010-03-05 |
| 1285898197 | Deborah Ann Hoerner | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2008-07-10 |
| 1538226345 | Linda D. Mack | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2007-01-02 |
| 1669467593 | Sally D. Lincoln | Dietitian, Registered | 107 Medical Dr, Lagrange, GA 30240-4137 | 2005-09-16 |
| Find all providers in LAGRANGE | ||||
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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.