MRS. MAMIE ALICIA THOMPSON


Address: 430 N Monte Vista St, Ada, OK 74820-4657
Phone: 5804211516

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 769 OK Dietary & Nutritional Service Providers

Office Location

Street Address 430 N MONTE VISTA ST
City ADA
State OK
Zip Code 74820-4657

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City ADA
Zip Code 74820

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Dataset Information

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.

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