DAN EDWARD BACON (NPI# 1598808032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598808032 |
| Entity Type | Individual |
| Full Name | DAN EDWARD BACON |
| Credential | RD,LD |
| Practice Address |
440 Winn Way Decatur GA 30030-1715 |
| Practice Telephone | 4042943762 |
| Practice Fax Number | 4045087752 |
| Mailing Telephone | 4042943762 |
| Mailing Fax Number | 4045087752 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD002312 | GA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790157196 | Dan Bacon | Behavioral Analyst | 5375 Javier St, San Diego, CA 92117-3215 | 2015-10-24 |
| 1770678781 | Dan Bacon | Family Medicine | 3600 Memorial Blvd, Kerrville, TX 78028-5768 | 2006-10-04 |
| Street Address |
440 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003869736 | Judy Greenlea Taylor | Dentist | 440 Winn Way, Decatur, GA 30030-1715 | 2006-05-17 |
| 1528624202 | Ashley Laurice Williams | Registered Nurse | 440 Winn Way, Decatur, GA 30030-1715 | 2019-05-17 |
| 1083966485 | Chiemela O Njoku | Registered Nurse | 440 Winn Way, Decatur, GA 30030-1715 | 2012-10-09 |
| 1295085025 | Kemisha M Mcmullen | Registered Nurse | 440 Winn Way, Decatur, GA 30030-1715 | 2012-09-19 |
| 1730439985 | Hanna B Demeke | Registered Nurse | 440 Winn Way, Decatur, GA 30030-1715 | 2012-09-14 |
| 1437408788 | Rushita K Patel | Registered Nurse | 440 Winn Way, Decatur, GA 30030 | 2012-08-31 |
| 1639399066 | Tomeka Bonshell Fuller | Licensed Practical Nurse | 440 Winn Way, Decatur, GA 30030-1715 | 2007-04-26 |
| 1578781266 | Bernadine Boyd | Registered Nurse | 440 Winn Way, Decatur, GA 30030-1715 | 2007-04-20 |
| 1063534394 | Mary L Purcell | Registered Nurse | 440 Winn Way, Decatur, GA 30030-1715 | 2007-04-06 |
| 1124140470 | Charlene Andrea Jeanpierre | Registered Nurse | 440 Winn Way, Decatur, GA 30030-1715 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| 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 |
|---|---|---|---|---|
| 1588281018 | Annie Laine Parks | Dietitian, Registered | 805 N Trinity St, Decatur, TX 76234-1146 | 2020-06-30 |
| 1336768167 | Sylvia P Poulos | Dietitian, Registered | 1989 Wilandrew Dr, Decatur, GA 30033-1917 | 2020-04-12 |
| 1811478472 | Holley Nash | Dietitian, Registered | 1201 Clairmont Rd Ste 110, Decatur, GA 30030-1258 | 2018-08-22 |
| 1124538129 | Anna Leigh Blevens | Dietitian, Registered | 115 N Mcdonough St Ste A, Decatur, GA 30030-3354 | 2017-10-04 |
| 1497293955 | Rachel Anne Mcbride | Dietitian, Registered | 81 Pennsylvania Dr, Decatur, IL 62526-2349 | 2017-02-05 |
| 1235584111 | Christi Hansen | Dietitian, Registered | 253 Forkner Dr, Decatur, GA 30030-1612 | 2016-04-28 |
| 1639537822 | Moira Faris | Dietitian, Registered | 292 W Parkwood Rd, Decatur, GA 30030-2821 | 2016-02-03 |
| 1326479262 | Lori Ann Scholle | Dietitian, Registered | 615 Ponce De Leon Pl, Decatur, GA 30030-5108 | 2013-12-03 |
| 1851695126 | Vera Green | Dietitian, Registered | 2320 N Eiffel Ct, Decatur, GA 30032-5633 | 2010-12-30 |
| 1427375286 | Kimberly Ann Donohue | Dietitian, Registered | 1874 Beltine Rd, Decatur, AL 35601 | 2010-05-03 |
| Find all providers in DECATUR | ||||
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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.