STEPHANIE ALYCE OLIVARES (NPI# 1528301959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528301959 |
| Entity Type | Individual |
| Full Name | STEPHANIE ALYCE OLIVARES |
| Other Name | STEPHANIE ALYCE BEHRENDT |
| Credential | D.T.R. , M.S. |
| Practice Address |
14330 Midway Rd Ste 121 Dallas TX 75244-3522 |
| Practice Telephone | 9729300260 |
| Mailing Telephone | 9729300260 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| Y | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477020394 | Stephanie Giselle Olivares | Case Manager/Care Coordinator | 391 E 149th St Rm 417, Bronx, NY 10455-3907 | 2018-10-29 |
| Street Address |
14330 MIDWAY RD STE 121 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114023934 | Marentha S Coffee | Chiropractor | 14330 Midway Rd, Suite 116, Dallas, TX 75244-3522 | 2006-09-16 |
| 1356886253 | Joy Schwartz | Counselor | 14330 Midway Rd, Living Well Dallas, Dallas, TX 75244-3522 | 2016-12-31 |
| 1710320940 | Daniel Finley | Acupuncturist | 14330 Midway Rd, Dallas, TX 75244-3522 | 2013-04-08 |
| 1073881108 | Christina Leah Lewis | Social Worker | 14330 Midway Rd, Suite 121, Dallas, TX 75244-3522 | 2011-12-04 |
| 1821227190 | Happy W Muigai | Nurse Practitioner | 14330 Midway Rd, Building 1, Ste 121, Dallas, TX 75244-3522 | 2009-07-08 |
| 1619159985 | Amber Brooks | Chiropractor | 14330 Midway Rd, Ste 116, Dallas, TX 75244-3522 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922641034 | Mallory Patricia Bobzien | Dietetic Technician, Registered | 9301 N Central Expy Ste 685, Dallas, TX 75231-0816 | 2019-10-21 |
| 1568714269 | Nutrition In Action | Dietetic Technician, Registered | 9400 N. Central Expressway, Suite 402, Dallas, TX 75231 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273775 | Eric Von Runnels | Dietetic Technician, Registered | 4218 Leighann Lane Dr, Houston, TX 77047-6780 | 2020-07-24 |
| 1679105514 | Blake M Herron | Dietetic Technician, Registered | 300 Pecore St Apt 21, Houston, TX 77009-6247 | 2020-02-09 |
| 1669952990 | Priscilla Ann Askew | Dietetic Technician, Registered | 3025 Roxboro Rd, Euless, TX 76039-4055 | 2018-08-16 |
| 1326405697 | Emily Peck | Dietetic Technician, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2016-01-18 |
| 1417241175 | Carolyn Wyly | Dietetic Technician, Registered | 2620 Tanglewilde St, Houston, TX 77063-3203 | 2011-05-30 |
| 1689706392 | Oliva Olivarez | Dietetic Technician, Registered | 1504 Taub Loop, Houston, TX 77030-1608 | 2007-03-09 |
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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.