BEVERLY LYNN PRENTICE (NPI# 1528114873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528114873 |
| Entity Type | Individual |
| Full Name | BEVERLY LYNN PRENTICE |
| Credential | M.S., R.D., L.D. |
| Practice Address |
10105 Bridgewater Cir Owasso OK 74055-7727 |
| Practice Telephone | 9182724267 |
| Practice Fax Number | 9182744227 |
| Mailing Telephone | 9182724267 |
| Mailing Fax Number | 9182744227 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1488 | OK | Dietary & Nutritional Service Providers |
| Street Address |
10105 BRIDGEWATER CIR |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-7727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| 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 |
|---|---|---|---|---|
| 1437756947 | Malorie Scherf | Dietitian, Registered | 8751 N 97th East Ave Apt 917, Owasso, OK 74055-6887 | 2020-10-07 |
| 1902299639 | Nutrition Specialists of Northeastern Oklahoma | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2015-03-04 |
| 1417349291 | Rachel Benight | Dietitian, Registered | 10318 N 138th East Ave Ste 101, Owasso, OK 74055-4682 | 2015-03-03 |
| 1013294255 | Jessica Tilley | Dietitian, Registered | 8505 N 129th East Ave, Owasso, OK 74055-7168 | 2011-11-15 |
| 1871764126 | Kristy Lynne Beissel | Dietitian, Registered | 15334 E 89th Ct N, Owasso, OK 74055-8508 | 2008-03-14 |
| 1104018266 | Sarah Jennette Berry | Dietitian, Registered | 10306 N 138th East Ave, Owasso, OK 74055-4665 | 2007-08-13 |
| 1376022400 | Nicole Marie Mccowan | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2018-08-09 |
| 1972014439 | Elizabeth A. Tooley | Dietitian, Registered | 10512 N 110th East Ave, Owasso, OK 74055-6636 | 2017-10-23 |
| 1598205130 | Megan Mcfarland | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2017-03-01 |
| 1770930208 | Jessica Berg | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2016-05-13 |
| Find all providers in OWASSO | ||||
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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.