JESSICA DANIELLE TEACHOUT


Address: 4100 Goss Rd Sw, Huntsville, AL 35809-0001
Phone: 8083485128

JESSICA DANIELLE TEACHOUT (NPI# 1497260186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497260186
Entity Type Individual
Full Name JESSICA DANIELLE TEACHOUT
Other Name JESSICA DANIELLE TEACHOUT
Credential RD
Practice Address 4100 Goss Rd Sw
Huntsville
AL 35809-0001
Mailing Address 520 Lunalilo Home Rd Unit 7414
Honolulu
HI 96825-1754
Practice Telephone 8083485128
Mailing Telephone 8083485128
Enumeration Date 2017-12-04
Last Update Date 2020-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1124 ND Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DEPARTMENT OF DEFENSE IDENTIFICATION NUMBER 1515034532 01

Office Location

Street Address 4100 GOSS RD SW
City HUNTSVILLE
State AL
Zip Code 35809-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346210861 Reagon Percy Carr Social Worker 4100 Goss Rd Sw, Usa Meddac Attn: Credentials, Huntsville, AL 35809-0001 2006-01-26
1396271375 Jeffrey Middleton Physical Therapist 4100 Goss Rd Sw, Huntsville, AL 35809-0001 2017-05-11
1184170607 Susan Landgraff Social Worker 4100 Goss Rd Sw, Huntsville, AL 35809-0001 2016-08-26
1487068201 Fox Army Health Center Military/U.S. Coast Guard Pharmacy 4100 Goss Rd Sw, Fox Army Health Center, Huntsville, AL 35809-0001 2014-06-19
1598031106 Brandon Howard Pharmacist 4100 Goss Rd Sw, Huntsville, AL 35809-0001 2012-03-28
1487922050 Fox Army Health Clinic Clinic/Center 4100 Goss Rd Sw, Huntsville, AL 35809-0001 2011-12-09
1326372392 Danette Garces-webb Psychologist 4100 Goss Rd Sw, Huntsville, AL 35809-0001 2009-09-23
1568624484 Bridget Boyd Hayes Optometrist 4100 Goss Rd Sw, Huntsville, AL 35809-0001 2008-07-01
1871796334 Fox Army Health Center Clinic/Center 4100 Goss Rd Sw, Usadc-1, Huntsville, AL 35809-0001 2007-06-11
1114121696 Siddharta Prasad Nandi Family Medicine 4100 Goss Rd Sw, Huntsville, AL 35809-0001 2007-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366952442 Jo-ann Anita Taalib Social Worker 300 Goss Rd, Redstone Arsenal, AL 35809 2017-10-03
1750313540 David Lawrence Kesting Physical Therapist Fox Army Health Center 4100 Goss Rd, Redstone Arsenal, AL 35809 2006-07-06
1295717627 Beverly Ann Johnson Nurse Practitioner 4400 Goss Rd, Redstone Arsenal, AL 35809 2005-11-20
1972505360 Carter Joe Hale Internal Medicine 4100 Goss Rd, Fox Army Health Center, Redstone Arsenal, AL 35809 2005-08-15
1659721181 Katherine Brown Dental Hygienist Bldg 4100 Goss Rd, Redstone Arsenal Dental Clinic, Redstone Arsenal, AL 35809 2016-06-15
1689740904 Amy Felice Sellers Social Worker Usa Meddac, Attn Mcxw Qm, Redstone Arsenal, AL 35809 2006-11-28
1508050659 Minnetta Williams Nurse Practitioner 4100 Goss Rd, Redstone Arsenal, AL 35809-0001 2007-08-31
1154476992 Carly Marie Skarphol Registered Nurse Fox Army Health Center (preventive Medicine), Bldg 4100 Goss Road, Redstone Arsenal, AL 35809-7000 2007-01-24
1710031174 Suzette Lee Baker Pharmacist Fox Army Health Center Pharmacy, 4100 Goss Road, Redstone Arsenal, AL 35809-7000 2007-01-23
1235282195 Lanell Cianciola Pharmacist Fox Army Health Center (pharmacy), 4100 Goss Road, Redstone Arsenal, AL 35809-7000 2007-01-22
Find all providers in zip 35809

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528669223 Andrea Lindsey Tait Dietitian, Registered 1305 Hearthwood Cir Se, Huntsville, AL 35803-2447 2020-11-08
1073113999 Katherine Stumb Dietitian, Registered 213 Westmoreland Ave Se, Huntsville, AL 35801-2727 2020-10-29
1124648944 Dawn Gooch Hall Dietitian, Registered 49 Castle Downs Drive, Huntsville, AL 35802-1293 2020-04-22
1285146282 Brandi Elizabeth Bonin Dietitian, Registered 1217 Avenue M Ste 113, Huntsville, TX 77340 2017-10-30
1306270814 Amy U. Seymour Dietitian, Registered 1309 Chandler Rd Se, Huntsville, AL 35801-1405 2013-09-03
1144519786 Rachael S Martin Dietitian, Registered 603 Ward Ave Ne, Huntsville, AL 35801-6332 2011-04-05
1831416213 Ruth Hartje Albro Dietitian, Registered 105 River Mill Rd, Huntsville, AL 35811-8093 2010-04-26
1295973303 Claudia Sandra Alcock-follette Dietitian, Registered 1101 Mcmurtrie Dr Nw, Suite C4, Huntsville, AL 35806-1778 2009-01-27
1649427923 Anna Holland Dietitian, Registered 101 Sively Road, Huntsville, AL 35801 2008-08-19
1033305859 Pamela Elise Glover Dietitian, Registered 201 Sivley Rd Sw Ste 210, Diabetes Control Center, Huntsville, AL 35801-5116 2007-09-16
Find all providers in HUNTSVILLE

Competitor

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City HUNTSVILLE
Zip Code 35809

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Dataset Information

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.

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