DANIELLE J REVOYR (NPI# 1497229785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497229785 |
Entity Type | Individual |
Full Name | DANIELLE J REVOYR |
Credential | MS, RDN, LD |
Practice Address |
5 Mobile Infirmary Cir Mobile AL 36607-3513 |
Practice Telephone | 2514356595 |
Mailing Telephone | 2513073098 |
Enumeration Date | 2019-01-19 |
Last Update Date | 2019-01-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 2954 | AL | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
COMMISSION ON DIETETIC REGISTRATION | 86105708 | 01 | |
AL | ALABAMA BOARD OF EXAMINERS FOR DIETETICS & NUTRITIONISTS | 2954 | 01 |
Street Address |
5 MOBILE INFIRMARY CIR |
City | MOBILE |
State | AL |
Zip Code | 36607-3513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639174014 | Kenneth Carl Brewington | Obstetrics & Gynecology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2005-06-14 |
1972118891 | Anthony A Mcpherson | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-09-09 |
1700404563 | My An T Pham | Pharmacist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-07-08 |
1215559968 | Mobile Infirmary Association | Clinical Medical Laboratory | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-05-15 |
1245866714 | Kierriah Callier Dortch | Registered Nurse | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-03-17 |
1043843295 | Richard Williams | Nurse Anesthetist, Certified Registered | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-02-17 |
1720637572 | Kaitlin Michelle Reed | Speech-Language Pathologist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-09-04 |
1710535828 | Charlotte Beverly | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607 | 2019-09-02 |
1063064376 | Melanie Ann Mccall | Pharmacist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-07-16 |
1962060822 | Lauren Wilson Clarke | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
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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 |
---|---|---|---|---|
1689208886 | Joanna Starks Danzy | Dietitian, Registered | 5550 Vanderbilt Dr N, Mobile, AL 36608-3084 | 2020-02-26 |
1144869595 | Amanda Kelley Arnold | Dietitian, Registered | 2557 S Durham Dr, Mobile, AL 36606-1742 | 2020-01-02 |
1720506868 | Rebecca Light | Dietitian, Registered | Po Box 2867, Mobile, AL 36652-2867 | 2017-09-08 |
1467979468 | Patricia K. James | Dietitian, Registered | 350 N Broad St Ste K, Mobile, AL 36603-5811 | 2017-08-29 |
1013398585 | Colleen Dawley | Dietitian, Registered | 2561 Dauphin St, Mobile, AL 36606-4850 | 2015-06-10 |
1558764696 | Laura Oliver | Dietitian, Registered | 7228 Oakbriar Dr S, Mobile, AL 36619-1226 | 2014-10-03 |
1831504265 | Andrea Dossett | Dietitian, Registered | 4803 Auburn Dr S, Mobile, AL 36618-2147 | 2014-06-24 |
1992136436 | Lorie Lynn Beasley | Dietitian, Registered | 55 Midtown Park E, Mobile, AL 36606-4141 | 2013-12-10 |
1124371331 | Lila S Sanders | Dietitian, Registered | 2029b Airport Blvd Ste 195, Mobile, AL 36606-1366 | 2012-10-25 |
1699080481 | Lindsey Westbrook Lee | Dietitian, Registered | 2029 Airport Blvd Ste 195, Mobile, AL 36606-1754 | 2010-08-17 |
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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.