TRISHA JACKSON (NPI# 1558741496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558741496 |
| Entity Type | Individual |
| Full Name | TRISHA JACKSON |
| Credential | RD |
| Practice Address |
904 Wollard Blvd Richmond MO 64085-2229 |
| Mailing Address |
1208 Sw 8th St Oak Grove MO 64075-9325 |
| Practice Telephone | 8164705432 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2004023103 | MO | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003118878 | Trisha Jackson | Rehabilitation Practitioner | 4160 S Pecos Rd, Las Vegas, NV 89121-5025 | 2010-11-29 |
| Street Address |
904 WOLLARD BLVD |
| City | RICHMOND |
| State | MO |
| Zip Code | 64085-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220052 | Ray County Memorial Hospital | Medicare Defined Swing Bed Unit | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2005-10-24 |
| 1295336428 | Devanne Landwehr | Pharmacist | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2020-11-04 |
| 1639543242 | Lindsay Collins | Pharmacist | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2015-11-19 |
| 1366875379 | Robert E Burton | Pharmacist | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2013-08-13 |
| 1376986901 | James Brian Smith | Family Medicine | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2013-04-13 |
| 1013233774 | Ray County Memorial Hospital | Hospice Care, Community Based | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2010-04-20 |
| 1326270786 | Meritas Health Corporation | Internal Medicine | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2009-08-19 |
| 1043340094 | Daniel R Mrosak Md PC | Surgery | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2007-03-07 |
| 1578676565 | Glen Georger | Emergency Medicine | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2006-08-16 |
| 1235191321 | Lei Guan | Emergency Medicine | 904 Wollard Blvd, Ray County Memorial Hospital, Richmond, MO 64085-2229 | 2006-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855027 | Martin Lee Mccrary | Counselor | 108 Wn Main, Richmond, MO 64085 | 2019-01-22 |
| 1265885792 | Special Needs Services of Ray County | Case Manager/Care Coordinator | 810 E Main Street, Richmond, MO 64085 | 2016-07-20 |
| 1669849170 | Sandra Gayle Johnson | Speech-Language Pathologist | 749 Driskill Drive, Richmond, MO 64085 | 2015-09-01 |
| 1386059533 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 320 E Lexington St, Richmond, MO 64085 | 2014-06-26 |
| 1114357761 | Duffett Holdings LLC | Pharmacy | 508 Johnny Walker Lane, Suite B, Richmond, MO 64085 | 2013-11-18 |
| 1841319928 | Jeanne M De Motte | Emergency Medicine | 904 Wollard Blvd., Richmond, MO 64085 | 2007-03-28 |
| 1285785022 | Steven Wesley Fawks | Dentist | 205 Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1215088968 | Steven W Fawks Dds PC | Dentist | 205 S Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1891892980 | Ray County Health Department | Public Health or Welfare | 820 East Lexington Street, Richmond, MO 64085 | 2006-09-20 |
| 1275557878 | Jamie Sue Honeycutt | Family Medicine | 420 Wollard Blvd, Richmond, MO 64085 | 2006-07-27 |
| Find all providers in zip 64085 | ||||
| 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 |
|---|---|---|---|---|
| 1841891876 | Margaret Rawls | Dietitian, Registered | 4303 Smithdeal Ave, Richmond, VA 23225-3320 | 2020-11-05 |
| 1528675204 | Lyndel Rose Schuster | Dietitian, Registered | 3104 Park Ave, Richmond, VA 23221-1610 | 2020-09-28 |
| 1821609561 | Shelley Palmer | Dietitian, Registered | 3306 Garland Ave, Richmond, VA 23222-2643 | 2020-08-15 |
| 1649891946 | Rebekah Ruth Miller | Dietitian, Registered | 20402 Lemon Blossom Cir, Richmond, TX 77407-1499 | 2020-04-28 |
| 1710514575 | Alexandra Oksana Anderson | Dietitian, Registered | 71020 Weeks Rd, Richmond, MI 48062-4924 | 2020-03-23 |
| 1326685595 | Marian Flocco | Dietitian, Registered | 12200 Browning Pl, Richmond, VA 23233-1743 | 2019-12-05 |
| 1356907117 | Julie Barbaro | Dietitian, Registered | 2201 Libbie Ave, Richmond, VA 23230-2364 | 2019-05-16 |
| 1194294942 | Angela Spencer | Dietitian, Registered | 2924 Emerywood Pkwy Ste 103, Richmond, VA 23294-3746 | 2018-11-21 |
| 1326513391 | Cayla Jablonski | Dietitian, Registered | 420 Libbie Ave Ste 200, Richmond, VA 23226-2664 | 2018-10-05 |
| 1659860898 | Holly Michelle Falke | Dietitian, Registered | 1810 Lake Arrowhead Dr, Richmond, TX 77406-6993 | 2018-05-03 |
| Find all providers in RICHMOND | ||||
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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.