MRS. JO ELLEN CONDON


Address: 192a S Southwood Ave, Annapolis, MD 21401-4026
Phone: 4104872779

MRS. JO ELLEN CONDON (NPI# 1538216932) 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) 1538216932
Entity Type Individual
Full Name MRS. JO ELLEN CONDON
Other Name MISS JO ELLEN DOBBS
Credential RD, LD, CDE
Practice Address 192a S Southwood Ave
Annapolis
MD 21401-4026
Practice Telephone 4104872779
Practice Fax Number 4102802278
Mailing Telephone 4104872779
Mailing Fax Number 4102802278
Enumeration Date 2007-01-05
Last Update Date 2019-05-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DX2531 MD Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS 166237 01
MD MEDICARE 787019 01
MD MARYLAND STATE BOARD OF DIETETIC PRACTICE DX2531 01
AMERICAN DIETETIC ASSOCIATION 725845 01

Office Location

Street Address 192A S SOUTHWOOD AVE
City ANNAPOLIS
State MD
Zip Code 21401-4026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013273242 Rdiabetes Empowermnt LLC Dietitian, Registered 192a S Southwood Ave, Annapolis, MD 21401-4026 2012-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497377154 Michael Khorsandi Student in an Organized Health Care Education/Training Program 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 2020-05-15
1275172033 Katrice N Nelson Massage Therapist Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 2019-12-27
1548803521 Victoria Reimnitz Behavioral Analyst 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 2019-10-23
1700438140 Emily Megan Burke Nurse Practitioner 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 2019-07-16
1316504848 Sherina Maryam Shamsa Counselor 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 2019-05-21
1497225288 Jerilyn Deitch Speech-Language Pathologist Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 2018-12-05
1487124038 Lucinda W Mimms Speech-Language Pathologist 2644 Riva Rd., Annapolis, MD 21401 2018-11-27
1487145496 Michelle Baudean Behavior Technician 1919 West St Ste 201, Annapolis, MD 21401 2018-05-24
1730678954 Stephanie Ruth Streb Registered Nurse 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 2018-05-02
1780183947 Annapolis Sleep Center LLC Clinic/Center 2451 Riva Rd, Annapolis, MD 21401 2018-02-02
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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
1679102701 Emelia Stiverson Dietitian, Registered 1111 August Dr, Annapolis, MD 21403-4624 2020-04-01
1871137885 Ashley Marie Hazenstab Dietitian, Registered 329 Bulwark Aly, Annapolis, MD 21401-1957 2019-11-01
1730616202 Wendy Anderson Dietitian, Registered 318 Riverview Ave, Annapolis, MD 21403-3328 2017-05-16
1639616261 Victoria Catalano Snelgrove Dietitian, Registered 1914 Sleepy Hollow Ln, Annapolis, MD 21401-1050 2017-01-20
1124483698 Devon Forbes Dietitian, Registered 1907 West St, Unit 401, Annapolis, MD 21401-3943 2015-12-28
1326416132 Colleen Kiley Dietitian, Registered 2000 Medical Pkwy Fl 5, Annapolis, MD 21401 2015-09-10
1447505037 Cheryl Lynn Moseley Dietitian, Registered 209 W Lake Dr, Annapolis, MD 21403-4430 2012-07-19
1194021204 Casey Richmond Lehner Dietitian, Registered 41 Pinkney St, Annapolis, MD 21401-1717 2011-02-07
1427225309 Jennifer M Ignacio Dietitian, Registered 1418 Anna Marie Ct, Annapolis, MD 21409-5672 2008-05-10
1104035948 Rachel Chun Dietitian, Registered 2000 Medical Pkwy Ste 600, Annapolis, MD 21401-3748 2007-05-21
Find all providers in ANNAPOLIS

Competitor

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City ANNAPOLIS
Zip Code 21401

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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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