MRS. STACEY DUNN ETHRIDGE (NPI# 1629621362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629621362 |
| Entity Type | Individual |
| Full Name | MRS. STACEY DUNN ETHRIDGE |
| Other Name | MS. STACEY MICHELLE DUNN |
| Credential | MS, RDN, LDN |
| Practice Address |
1216 Somerville Rd Se Decatur AL 35601-4335 |
| Practice Telephone | 2563400012 |
| Practice Fax Number | 2563401408 |
| Mailing Telephone | 2563400012 |
| Mailing Fax Number | 2563401408 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2233 | AL | Dietary & Nutritional Service Providers |
| Street Address |
1216 SOMERVILLE RD SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144301243 | Home Dialysis of North Alabama Inc. | Internal Medicine | 1216 Somerville Rd Se, Decatur, AL 35601-4335 | 2006-10-17 |
| 1275166175 | Holly Berryman Backe | Nurse Practitioner | 1216 Somerville Rd Se, Decatur, AL 35601-4335 | 2020-02-19 |
| 1730712738 | North Alabama Home Dialysis | Clinic/Center | 1216 Somerville Rd Se, Decatur, AL 35601-4335 | 2020-02-18 |
| 1194137653 | Avra Ratliff Adair | Nurse Practitioner | 1216 Somerville Rd Se, Decatur, AL 35601-4335 | 2014-06-02 |
| 1891960175 | Constance Marie Schneider | Nurse Practitioner | 1216 Somerville Rd Se, Decatur, AL 35601-4335 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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.