MRS. ELIZABETH BACKER AMISSON (NPI# 1598092389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598092389 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH BACKER AMISSON |
| Other Name | MRS. ELIZABETH BACKER MELICK |
| Credential | MS, RD, CDE |
| Practice Address |
53 S Main St Ste 2f Medford NJ 08055-2442 |
| Mailing Address |
353 Birmingham Rd Pemberton NJ 08068-1325 |
| Practice Telephone | 6097261407 |
| Mailing Telephone | 9732703680 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2014-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 948579 | NJ | Dietary & Nutritional Service Providers |
| Street Address |
53 S MAIN ST STE 2F |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| 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 |
|---|---|---|---|---|
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1043855430 | Brittany Lauren Berger | Dietitian, Registered | 0 Governors Ave Ste 2, Medford, MA 02155-3037 | 2019-11-09 |
| 1720435183 | Sarah Leib | Dietitian, Registered | 1 New Kent Ct, Medford, NJ 08055-8618 | 2016-05-16 |
| 1154694768 | Christine Morrell | Dietitian, Registered | 1100 East Main Street, Medford, OR 97504 | 2012-02-13 |
| 1063793495 | Laura Ruth Winters | Dietitian, Registered | 760 Golf View Drive, Suite # 200, Renal Care Consultants PC, Medford, OR 97504 | 2011-08-30 |
| 1295827103 | Lynn P Hillery | Dietitian, Registered | 76 Southaven Ave Ste 2, Medford, NY 11763-3745 | 2006-09-28 |
| 1164430518 | Susan L Spiva | Dietitian, Registered | 825 E Main St Ste C, Medford, OR 97504-7171 | 2006-08-03 |
| 1861415564 | Jennifer L Canganelli | Dietitian, Registered | 2900 E Barnett Rd Ste 2, Medford, OR 97504-8380 | 2006-07-25 |
| 1083653471 | Mary K Stansell | Dietitian, Registered | 221 Stewart Avenue, Suite #101, Medford, OR 97501-3609 | 2006-06-04 |
| 1265053722 | Dana Bean | Dietitian, Registered | 900 E Main St, Medford, OR 97504-7136 | 2020-05-06 |
| Find all providers in MEDFORD | ||||
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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.