DR. KODJO ADAM DODO (NPI# 1538787643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538787643 |
| Entity Type | Individual |
| Full Name | DR. KODJO ADAM DODO |
| Credential | RD |
| Practice Address |
4430 Missouri Ave Fort Leonard Wood MO 65473-9098 |
| Mailing Address |
4430 Missouri Avenue Box 1267 Attn: Dqs-cr Fort Leonard Wood MO 65473 |
| Practice Telephone | 5735960417 |
| Mailing Telephone | 5735960417 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 999122 | IL | Dietary & Nutritional Service Providers |
| Street Address |
4430 MISSOURI AVE |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473-9098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225083249 | General Leonard Wood Army Community Hospital | Clinic/Center | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2006-05-24 |
| 1912511593 | Kay Lynn Brunt | Military Health Care Provider | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-09-01 |
| 1669084208 | Brenda Michelle Helton | Nurse Practitioner | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-08-17 |
| 1316565732 | Dalton Dewey | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-07-13 |
| 1821613100 | Christopher James Robets | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-06-11 |
| 1760007355 | Zaine Robert Dugan | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-06-10 |
| 1134753031 | Jeremiah Leaming | Nurse Practitioner | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-02-28 |
| 1700418167 | Diana Alvarado | Social Worker | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-02-04 |
| 1336789767 | Jonathan Weiser | Physician Assistant | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-01-14 |
| 1669017562 | Benjamin Earle | Physician Assistant | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2019-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| 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 |
|---|---|---|---|---|
| 1861723439 | Esther Ting | Dietitian, Registered | 126 Missouri Ave # 1252, Fort Leonard Wood, MO 65473-8952 | 2010-01-21 |
| 1881205672 | Cara E Adams | Dietitian, Registered | 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473-9098 | 2020-08-14 |
| 1801309844 | Anna Lydia Cardenas | Dietitian, Registered | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2017-11-13 |
| 1225553886 | Danielle R Carter | Dietitian, Registered | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2017-08-04 |
| 1154868602 | Sherry Neal | Dietitian, Registered | 4430 Missouri Ave, Bldg 310, Fort Leonard Wood, MO 65473-9098 | 2017-01-23 |
| 1568767887 | Jessica Kovarik | Dietitian, Registered | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2011-01-18 |
| 1700180817 | Allison Faye Sweet | Dietitian, Registered | 126 Missouri Ave # 1252, Fort Leonard Wood, MO 65473-8952 | 2011-01-04 |
| 1386975068 | Mary H Staudter | Dietitian, Registered | 126 Missouri Ave, Box 1252, Fort Leonard Wood, MO 65473-8952 | 2010-01-20 |
| 1528126729 | Kay Elizabeth Mckinnie | Dietitian, Registered | 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 | 2006-12-04 |
| 1568437796 | Joanna J. Reagan | Dietitian, Registered | 126 Missouri Ave, General Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473-8952 | 2006-02-21 |
| Find all providers in FORT LEONARD WOOD | ||||
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
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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.