MRS. SUSAN WILLIS PHARISS (NPI# 1598912941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598912941 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN WILLIS PHARISS |
| Credential | R.D., L.D. |
| Practice Address |
419 Country Oak Dr Chesterfield MO 63017-2821 |
| Practice Telephone | 3144696275 |
| Mailing Telephone | 3144696275 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 20000174933 | MO | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD CPIN | 710000796 | 01 |
| Street Address |
419 COUNTRY OAK DR |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| 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 |
|---|---|---|---|---|
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1285150052 | Alexandra Ginos | Dietitian, Registered | 16310 Westboro Circle Dr, Chesterfield, MO 63017-4686 | 2017-08-14 |
| 1841645330 | Kelsey Gibson | Dietitian, Registered | 111 Saint Lukes Center Dr Ste 42b, Chesterfield, MO 63017-3509 | 2016-05-03 |
| 1003276858 | Thomasine Slater | Dietitian, Registered | 17601 Burnham Ct, Chesterfield, MO 63005-4220 | 2016-03-07 |
| 1124427786 | Prajakta Khare | Dietitian, Registered | 200 Dejournet Dr, Chesterfield, MO 63005-1619 | 2014-08-20 |
| 1366686016 | Julia Lynne Politte | Dietitian, Registered | 16625 Swingley Ridge Rd, Chesterfield, MO 63017-1715 | 2009-04-25 |
| 1346442357 | Julie Spruill | Dietitian, Registered | 222 S Woods Mill Rd Ste 410n, Chesterfield, MO 63017-3632 | 2007-06-01 |
| 1134758535 | Heather Verble | Dietitian, Registered | 111 Saint Lukes Center Dr Ste 42b, Chesterfield, MO 63017-3509 | 2020-04-07 |
| 1447889282 | Audra Michelle Kramer | Dietitian, Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2020-04-03 |
| 1023679214 | Ryan Collins | Dietitian, Registered | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-06-27 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.