MRS. MAMIE ALICIA THOMPSON (NPI# 1609438159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609438159 |
Entity Type | Individual |
Full Name | MRS. MAMIE ALICIA THOMPSON |
Credential | RD |
Practice Address |
430 N Monte Vista St Ada OK 74820-4657 |
Practice Telephone | 5804211516 |
Practice Fax Number | 5802721618 |
Mailing Telephone | 5804211516 |
Mailing Fax Number | 5802721618 |
Enumeration Date | 2019-07-05 |
Last Update Date | 2019-07-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 769 | OK | Dietary & Nutritional Service Providers |
Street Address |
430 N MONTE VISTA ST |
City | ADA |
State | OK |
Zip Code | 74820-4657 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932187606 | Fionnuala M Gurley | Internal Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2006-01-04 |
1427693787 | Payton Elizabeth Mcadams | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-11-11 |
1033764378 | Shannon D Krueger | Registered Nurse | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-08-05 |
1679135446 | Ada Valley Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-07-02 |
1609330968 | Justin Issac Rammage | Nurse Practitioner | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-01-30 |
1871085829 | Bradley Brown | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2018-06-05 |
1093240897 | Keerthana Anand | Family Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2017-04-29 |
1528426442 | Kevin Beaver | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2016-02-05 |
1295108751 | Nicole Smith | Nurse Practitioner | 430 N Monte Vista St, Ada, OK 74820-4610 | 2015-11-05 |
1710361506 | Areeb Bangash | Internal Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2015-07-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
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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 |
---|---|---|---|---|
1104325844 | Leah Rachel Miller | Dietitian, Registered | Mercy Hospital Ada - Food and Nutrition Services, 430 N Monte Vista, Ada, OK 74820 | 2018-02-08 |
1851829865 | Sarah Jane Miracle | Dietitian, Registered | 409 S 14th Pl, Ada, OK 74820-7137 | 2017-06-03 |
1538618152 | Sandra Linn Andrews | Dietitian, Registered | 8699 Vergennes St Se, Ada, MI 49301-8910 | 2016-09-23 |
1518243252 | Cassandra Star Edwards | Dietitian, Registered | 3901 N Broadway Ave, Ada, OK 74820-1109 | 2011-10-26 |
1891247466 | Nissa Harrington | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-10-31 |
1053778514 | Darlene Seck | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-01-28 |
1598122194 | Caitlin Barringer | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-01-27 |
1134550114 | Rachael Edmundson | Dietitian, Registered | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2013-12-02 |
1720325269 | Melanie Todd | Dietitian, Registered | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2013-01-03 |
1245476936 | Virginia Austin | Dietitian, Registered | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2008-12-30 |
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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.