STEFANIE LYNN WILKERSON (NPI# 1659638963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659638963 |
| Entity Type | Individual |
| Full Name | STEFANIE LYNN WILKERSON |
| Credential | RD, CSG, LD |
| Practice Address |
770 Dennard St Longview TX 75605-8295 |
| Practice Telephone | 9032208685 |
| Practice Fax Number | 9036638764 |
| Mailing Telephone | 9032208685 |
| Mailing Fax Number | 9036638764 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT04780 | TX | Dietary & Nutritional Service Providers |
| Street Address |
770 DENNARD ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-8295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1760030456 | Stephanie Michelle Michael | Dietitian, Registered | 615 7th Ave # 17, Longview, WA 98632-1606 | 2019-08-27 |
| 1417447624 | Danyelle Bloomstrom | Dietitian, Registered | 600 Broadway St Ste 120, Longview, WA 98632-3256 | 2018-05-14 |
| 1609297431 | Candace Clark | Dietitian, Registered | 1615 Delware Street, Longview, WA 98632 | 2013-12-20 |
| 1659691095 | Kristina R Macher | Dietitian, Registered | 712 N High St, Longview, TX 75601-5330 | 2010-06-08 |
| 1770524621 | Pamela Dawn Hignight | Dietitian, Registered | 1205 E Marshall Ave, Longview, TX 75601-5649 | 2006-06-10 |
| 1952364234 | Mary Lynn Vassar | Dietitian, Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2006-04-08 |
| 1427027739 | Denise Frye | Dietitian, Registered | 107 Woodbine Place, #775, Longview, TX 75608 | 2006-03-17 |
| 1023572351 | Kathleen Teresa Pittman | Dietitian, Registered | 1717 Olympia Way Ste 206, Longview, WA 98632-3929 | 2019-01-31 |
| 1619471505 | Susan Hughes | Dietitian, Registered | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2018-03-23 |
| 1255789152 | Erika Jeanne Luther | Dietitian, Registered | 1615 Delaware St, Longview, WA 98632-2367 | 2016-06-01 |
| Find all providers in LONGVIEW | ||||
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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.