NUTRIWELL DIET & WELLNESS CONSULTANTS LLC (NPI# 1639642390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639642390 |
| Entity Type | Organization |
| Organization Name | NUTRIWELL DIET & WELLNESS CONSULTANTS LLC |
| Practice Address |
524 Anasazi Ct El Paso TX 79912-1271 |
| Practice Telephone | 9566459716 |
| Mailing Telephone | 9566459716 |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2019-01-05 |
| Authorized Official Name | JILLIAN MANCHA MCLEAN (CO-OWNER) |
| Authorized Official Telephone | 9566459716 |
| Authorized Official Credential | RD, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1003300419 | 01 |
| Street Address |
524 ANASAZI CT |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003300419 | Jillian Mancha Mclean | Dietitian, Registered | 524 Anasazi Ct, El Paso, TX 79912-1271 | 2018-06-19 |
| 1003380122 | Valeria Orpinel-gomez | Dietitian, Registered | 524 Anasazi Ct, El Paso, TX 79912-1271 | 2019-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| 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 |
|---|---|---|---|---|
| 1275148603 | Wendy Bricco-meske | Dietitian, Registered | 11565 Spencer Dr, El Paso, TX 79936-3397 | 2020-09-11 |
| 1972115590 | Ana Larios | Dietitian, Registered | 1366 Trail Blazer Dr, El Paso, TX 79936-6983 | 2020-08-17 |
| 1689297806 | Jacqueline Mercedes Munoz | Dietitian, Registered | 4308 Marcus Uribe Dr, El Paso, TX 79934-3721 | 2020-05-21 |
| 1730717042 | James Cain | Dietitian, Registered | Fort Bliss, El Paso, TX 79916 | 2020-03-31 |
| 1003300419 | Jillian Mancha Mclean | Dietitian, Registered | 524 Anasazi Ct, El Paso, TX 79912-1271 | 2018-06-19 |
| 1992151617 | Monique Chavez | Dietitian, Registered | 14361 Wood Sugar Ct, El Paso, TX 79938-5136 | 2016-05-11 |
| 1912363888 | Waffa Al-bassam | Dietitian, Registered | 7344 Skyrocket Dr, El Paso, TX 79911-3117 | 2016-01-07 |
| 1124418397 | Sara Peidle | Dietitian, Registered | 14253 Spanish Point Dr, El Paso, TX 79938-5384 | 2015-01-27 |
| 1922338979 | Carolyn Peaslee | Dietitian, Registered | 6020 Camden Lake St, El Paso, TX 79932-3800 | 2010-01-13 |
| 1376782581 | Adriana Rascon | Dietitian, Registered | 4510 N Mesa St, El Paso, TX 79912-6102 | 2009-02-11 |
| Find all providers in EL PASO | ||||
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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.