MS. JACQUELINE MT CRENSHAW


Address: 1004 Dill Ave Sw, Atlanta, GA 30310-4109
Phone: 4047539981

MS. JACQUELINE MT CRENSHAW (NPI# 1659566503) 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) 1659566503
Entity Type Individual
Full Name MS. JACQUELINE MT CRENSHAW
Credential R.D.
Practice Address 1004 Dill Ave Sw
Atlanta
GA 30310-4109
Practice Telephone 4047539981
Practice Fax Number 4047539981
Mailing Telephone 4047539981
Mailing Fax Number 4047539981
Enumeration Date 2007-09-12
Last Update Date 2007-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
1955 GA Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA ADA CDR 320771 01
GA STATE 1955 01

Other Providers JACQUELINE CRENSHAW

NPI Name Taxonomy Address Enumeration
1639286891 Jacqueline Ruth Crenshaw Chiropractor 5724 Jackson St, Alexandria, LA 71303 2006-08-24

Office Location

Street Address 1004 DILL AVE SW
City ATLANTA
State GA
Zip Code 30310-4109

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1629636683 Manan Shah Student in an Organized Health Care Education/Training Program 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 2019-06-04
1780242420 Fortunate Amarachukwu Ejimone Student in an Organized Health Care Education/Training Program 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 2019-05-29
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1821583584 Onyedikachi Kenneth Michaels Student in an Organized Health Care Education/Training Program Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 2018-06-26
1881185387 Precious Oghenefejiro Odunvbun Student in an Organized Health Care Education/Training Program 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 2018-05-21
1598253908 Chinonyelum Doris Nwagbara Student in an Organized Health Care Education/Training Program Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 2018-05-01
1679060552 Danielle Nicole Oliver Student in an Organized Health Care Education/Training Program Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 2018-04-17
1376049072 Ngozi Egondu Okanu Student in an Organized Health Care Education/Training Program Gme 720 Westview Dr, Sw, Atlanta, GA 30310 2018-04-02
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265047674 Tracey Lashae Copeland Nutritionist 139 Ralph Mcgill Blvd Ne # 5, Atlanta, GA 30308-3339 2020-09-11
1417570904 Asase Ye Duru Holistic,llc Nutritionist 1201 W Peachtree St Nw, Atlanta, GA 30309-3449 2020-05-19
1609312487 Alamo Health Group, LLC Nutritionist 4816 Ashford Ln, Atlanta, GA 30338-2650 2017-01-17
1093261034 Amy Lambert Nutritionist 1575 Mclendon Ave Ne, Atlanta, GA 30307-2167 2016-08-30
1114311990 Keena Stephens Nutritionist 211 Cove Pl, Atlanta, GA 30339-5207 2015-03-19
1275756918 Noretta Gail Bunyon Nutritionist 515 Fairburn Rd Sw, Suite 350, Atlanta, GA 30331-2012 2007-04-11
1942834700 Corinne Rose Jacobs Nutritionist 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 2020-03-02
1730510199 Francoise Maillet Nutritionist 1365 Clifton Rd Ne, 3 Rd Floor, Bldg A, Atlanta, GA 30322-1013 2013-12-10
1235446758 Lena Danielle Beal Nutritionist 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 2010-09-03
1598079907 Atlanta Wellness Md PC Nutritionist 2001 Peachtree Rd Ne, Suite 650, Atlanta, GA 30309-1476 2010-07-28
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Competitor

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City ATLANTA
Zip Code 30310

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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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