KAY L CLATTERBUCK


Address: 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705
Phone: 5402245680

KAY L CLATTERBUCK (NPI# 1649376526) 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) 1649376526
Entity Type Individual
Full Name KAY L CLATTERBUCK
Credential RD
Practice Address 213 S Jefferson St
Suite 416
Roanoke
VA 24011-1705
Mailing Address 1906 Belleview Ave Se
Roanoke
VA 24014-1838
Practice Telephone 5402245680
Enumeration Date 2006-09-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 551717 IL Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL CERTIFICATION NUMBER 551717 01

Office Location

Street Address 213 S JEFFERSON ST
SUITE 416
City ROANOKE
State VA
Zip Code 24011-1705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447206370 Carilion Healthcare Corporation Clinic/Center 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 2006-05-25
1275855785 Carilion Tazewell Community Hospital Family Medicine 213 S Jefferson St, Suite 625, Roanoke, VA 24011-1705 2010-02-25
1619299104 Carilion Healthcare Corporation Family Medicine 213 S Jefferson St, Suite 625, Roanoke, VA 24011-1705 2010-02-24
1073835567 Carilion Medical Center Family Medicine 213 S Jefferson St, Suite 625, Roanoke, VA 24011-1705 2010-02-24
1982926473 Carilion Services, Inc. Family Medicine 213 S Jefferson St, Suite 625, Roanoke, VA 24011-1705 2010-02-24
1922141977 Carilion Patient Transportation Services LLC Ambulance 213 S Jefferson St, Suite 801, Roanoke, VA 24011-1705 2007-02-15
1588760466 Jennettee L Metzler Dietitian, Registered 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 2006-09-16
1811093701 Jill Traegde-halstead Dietitian, Registered 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 2006-09-16
1124124029 Bonnie R Land Dietitian, Registered 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 2006-09-16
1598861486 Gwinn S Firing Dietitian, Registered 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 2006-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578009346 Debra Jean Massaro Nurse Practitioner 123 Sesame St., Roanoke, VA 24011 2017-01-17
1568405884 Jilda Edean Long Optometrist 22 Campbell Ave Se, Roanoke, VA 24011 2006-06-14
1558415117 Total Action Against Poverty Voluntary or Charitable 145 Campbell Ave Sw, Suite 601, Roanoke, VA 24011-1211 2007-01-22
1164040960 Daniel Scott Feivor Physician Assistant 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 2020-07-08
1467019398 Michael Gumpert Military Health Care Provider 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 2019-05-27
1700070083 Long Sight, PC Clinic/Center 22 Campbell Ave Se, Roanoke, VA 24011-1404 2007-08-30
1679717151 Blue Ridge Behavioral Healthcare Community/Behavioral Health 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 2009-04-28
1679717854 Monique Deberry Worrell Social Worker 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 2009-05-01
1265523211 City of Roanoke Clinic/Center 120 Kirk Ave Sw, Roanoke, VA 24011-1602 2006-09-27
1386892362 Tennille Alycee Smelcer Nurse Practitioner 213 S Jefferson Street, Suite 625, Roanoke, VA 24011-1700 2008-09-03
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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
1356831234 Mary Clifford Brewer Dietitian, Registered 6451 Cotton Hill Rd, Roanoke, VA 24018-6911 2018-05-16
1841727989 Kelsie Lewis Dietitian, Registered 14953 Seventeen Lakes Blvd, Roanoke, TX 76262-3732 2017-05-19
1679013965 Jessica Dunham Dietitian, Registered 3640 Bushdale Rd, Roanoke, VA 24014-6014 2017-03-06
1073864393 Lakshmi Mahan Dietitian, Registered 2125 Yellow Mountain Rd Se Apt 104, Roanoke, VA 24014-2422 2012-09-26
1639325558 Brenda Kay Lucas Dietitian, Registered 3721 Autumn Dr, Roanoke, VA 24012-6457 2008-08-12
1023203262 Stephanie M Murray Dietitian, Registered Bellview At Jefferson Street, Crmh Third Floor South, Roanoke, VA 24014 2007-09-11
1093824906 The Nutrition Resource, Inc. Dietitian, Registered 1910 Electric Rd, Roanoke, VA 24018-1621 2006-08-30
1801825534 Real Life Nutrition, Inc. Dietitian, Registered 1030 S Jefferson St Ste 200, Roanoke, VA 24016-4418 2006-07-03
1801863782 Donald E. Mankie Dietitian, Registered 4633 Brambleton Ave, Suite 101, Roanoke, VA 24018-3410 2006-03-01
1821647330 Jearls Nutrition, LLC Dietitian, Registered 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2019-09-06
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Competitor

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City ROANOKE
Zip Code 24011

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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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