REBECCA L MONAHAN (NPI# 1487973350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487973350 |
Entity Type | Individual |
Full Name | REBECCA L MONAHAN |
Credential | RD, LD |
Practice Address |
520 E Douglas Blvd Tyler TX 75702-8307 |
Mailing Address |
Po Box 5500 Tyler TX 75712-5500 |
Practice Telephone | 9035931721 |
Mailing Telephone | 9033246400 |
Enumeration Date | 2010-05-18 |
Last Update Date | 2014-05-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | DT81427 | TX | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 215678801 | 05 |
Street Address |
520 E DOUGLAS BLVD |
City | TYLER |
State | TX |
Zip Code | 75702-8307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316917750 | David H Beaird | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-01-26 |
1366671216 | Trinity Clinic | Clinic/Center | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2009-07-13 |
1619152139 | Amanda Elizabeth Mullins | Nurse Practitioner | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2008-01-03 |
1225162753 | Robert Brooks Clarke | Physician Assistant | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2007-03-15 |
1356364178 | Neda Esfandiari | Family Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-07-25 |
1316966971 | Albert C Lee | Specialist | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-07-18 |
1134163868 | Marcia W Green | Nurse Practitioner | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-06-15 |
1407896293 | Andria Beth Cardinalli-stein | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-06-08 |
1649246315 | James Gregory Stovall | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702 | 2006-02-23 |
1245206937 | Oscar Ray Wilson | Family Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-02-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
Find all providers in zip 75702 |
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 |
---|---|---|---|---|
1528602547 | Jayden Jesse Chapman | Dietitian, Registered | 117 W Phillips St Apt 15, Tyler, TX 75701-1640 | 2019-11-01 |
1558859215 | Marie Carol Pizzolatto | Dietitian, Registered | 4800 Gretna Green Ln, Tyler, TX 75703-2720 | 2018-04-27 |
1518485093 | Alyssa Korthauer Allare | Dietitian, Registered | 200 Robert E Lee Dr, Tyler, TX 75703-4603 | 2017-09-05 |
1740678945 | Catherine Leah Ely | Dietitian, Registered | 920 Shiloh Road, Suite 120, Tyler, TX 75703 | 2014-12-23 |
1508261215 | Whitney Bauman | Dietitian, Registered | 12699 Hwy 110 N, Tyler, TX 75704-2842 | 2014-10-24 |
1558787713 | Corinna Orms | Dietitian, Registered | 619 S Fleishel Ave Ste 327, Tyler, TX 75701-2019 | 2014-03-12 |
1295058212 | Kay Head | Dietitian, Registered | 424 W Rieck Rd, #246, Tyler, TX 75703-3136 | 2010-03-04 |
1356476337 | Kay Wright | Dietitian, Registered | 820 S Beckham Ave, Tyler, TX 75701-1904 | 2007-02-22 |
1710036454 | Tammy Jimenez | Dietitian, Registered | 5555 W. Twin Lakes Dr., Tyler, TX 75704 | 2007-01-10 |
1326018789 | Elaine Aragon | Dietitian, Registered | 910 East Houston St, Ste 250, Tyler, TX 75702-8364 | 2006-01-26 |
Find all providers in TYLER |
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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.