DR. SALLY ERICKSON WEERTS (NPI# 1477826055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477826055 |
| Entity Type | Individual |
| Full Name | DR. SALLY ERICKSON WEERTS |
| Credential | RD, LD/N |
| Practice Address |
3225 University Blvd S Jacksonville FL 32216-2762 |
| Mailing Address |
5323 Stetson Rd Jacksonville FL 32207-7857 |
| Practice Telephone | 9042532357 |
| Practice Fax Number | 9042531993 |
| Mailing Telephone | 9042532357 |
| Mailing Fax Number | 9042531993 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND4910 | FL | Dietary & Nutritional Service Providers |
| Street Address |
3225 UNIVERSITY BLVD S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861454126 | Kerrie Peacock-preston | Physician Assistant | 3225 University Blvd S, Suite 101, Jacksonville, FL 32216-2762 | 2006-04-03 |
| 1144856030 | Sarah Pratico | Nurse Practitioner | 3225 University Blvd S, Jacksonville, FL 32216-2762 | 2020-03-23 |
| 1538599493 | Christopher Shuff | Dietitian, Registered | 3225 University Blvd S, Jacksonville, FL 32216-2762 | 2013-11-13 |
| 1780017699 | Florida Department of Health | Clinic/Center | 3225 University Blvd S, Suite 101, Jacksonville, FL 32216-2762 | 2013-08-14 |
| 1457624553 | Erin Elisabeth Meyer | Dietitian, Registered | 3225 University Blvd S, Suite 100, Jacksonville, FL 32216-2762 | 2012-02-21 |
| 1851679732 | Kimberly M Jimenez | Nurse Practitioner | 3225 University Blvd S, Suite 104, Jacksonville, FL 32216-2762 | 2011-07-27 |
| 1013210525 | Lindsey A Sowders | Dietitian, Registered | 3225 University Blvd S, Jacksonville, FL 32216-2762 | 2010-12-06 |
| 1629398359 | Denitza Issaeva Mladenova | Dietitian, Registered | 3225 University Blvd S, Jacksonville, FL 32216-2762 | 2010-06-04 |
| 1356570006 | Kathrine Marie Foreman | Dietitian, Registered | 3225 University Blvd S, Jacksonville, FL 32216-2762 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| 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 |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1073127528 | David Cameron Yarborough | Dietitian, Registered | 8165 Veracruz Dr, Jacksonville, FL 32211-5034 | 2020-09-02 |
| 1710597562 | Rachel Lynn Mccandless | Dietitian, Registered | 1814 Industrial Blvd, Jacksonville, FL 32254-2081 | 2020-08-06 |
| 1417586330 | Sarah Nicole Allen | Dietitian, Registered | 10000 Gate Pkwy N Apt 816, Jacksonville, FL 32246-8210 | 2020-04-02 |
| 1841823259 | Katherine Stewart | Dietitian, Registered | 4203 Belfort Rd Bldg Suite250, Jacksonville, FL 32216-1409 | 2020-02-14 |
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1972156552 | Whitney Russell | Dietitian, Registered | 413 Little Creek Ct, Jacksonville, NC 28546-8737 | 2019-07-22 |
| 1154805414 | Stacy Seslowsky | Dietitian, Registered | 4300 Lakeside Dr Unit 5, Jacksonville, FL 32210-3364 | 2018-09-21 |
| 1942787734 | Tabetha Foose | Dietitian, Registered | 13295 Smithwick Ln, Jacksonville, FL 32226-0717 | 2018-07-24 |
| 1336656255 | Julia Whelan | Dietitian, Registered | 1488 Landau Rd, Jacksonville, FL 32225-8275 | 2017-12-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.