MEDICAL NUTRITION SERVICES LLC (NPI# 1659711059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659711059 |
| Entity Type | Organization |
| Organization Name | MEDICAL NUTRITION SERVICES LLC |
| Practice Address |
24400 Perdido Beach Blvd Suite #016 Orange Beach AL 36561-6072 |
| Practice Telephone | 2516225881 |
| Mailing Telephone | 2516225881 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-07-24 |
| Authorized Official Name | CATHERINE VIRGINIA MOORE (VICE-PRESIDENT) |
| Authorized Official Telephone | 2259533100 |
| Authorized Official Credential | RN, MN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
24400 PERDIDO BEACH BLVD SUITE #016 |
| City | ORANGE BEACH |
| State | AL |
| Zip Code | 36561-6072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811450331 | City of Orange Beach | Ambulance | 25853 John Snook Drive, Orange Beach, AL 36561 | 2019-04-11 |
| 1922349133 | Phalanx Med Alabama, LLC | Durable Medical Equipment & Medical Supplies | 5910 Canal Road, Suite O #189, Orange Beach, AL 36561 | 2013-03-13 |
| 1336319953 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 25761 Perdido Beach Blvd., Orange Beach, AL 36561 | 2008-03-11 |
| 1043489412 | Dalco Enterprises Inc | Durable Medical Equipment & Medical Supplies | 24900 Perdido Key Blvd, Suite 204, Orange Beach, AL 36561 | 2008-02-29 |
| 1326115536 | Andrew Dexter Dunavant Jr. | Dentist | Comprehensive Dentistry of Orange Beach, 2750 Rollins Road, Orange Beach, AL 36561 | 2006-11-30 |
| 1154406668 | John Henry Brackett Jr. | Dentist | 25771 Canal Rd, Orange Beach, AL 36561 | 2006-10-25 |
| 1982791646 | Tiffany Shea Veale-halm | Chiropractor | 24693 Canal Road, Suite B, Orange Beach, AL 36561 | 2006-10-06 |
| 1962505883 | Thomas Arthur Denton | Pharmacist | 25405 Perdido Blvd, Orange Beach, AL 36561 | 2006-09-06 |
| 1609882463 | Mark A. Cameron | Emergency Medicine | 25910 Canal Rd Ste D, Orange Beach, AL 36561 | 2006-08-01 |
| 1871520395 | George Robert Burton IIi | Orthopaedic Surgery | 28707 Sampson Ave, Orange Beach, AL 36561 | 2006-06-28 |
| Find all providers in zip 36561 | ||||
| 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 |
|---|---|---|---|---|
| 1528669223 | Andrea Lindsey Tait | Dietitian, Registered | 1305 Hearthwood Cir Se, Huntsville, AL 35803-2447 | 2020-11-08 |
| 1003417841 | Jennifer Akiko Wanberg | Dietitian, Registered | 1122 Colonial Dr, Alabaster, AL 35007-8001 | 2020-11-06 |
| 1073113999 | Katherine Stumb | Dietitian, Registered | 213 Westmoreland Ave Se, Huntsville, AL 35801-2727 | 2020-10-29 |
| 1508466608 | Megan Miles | Dietitian, Registered | 229 Perthshire Way, Pelham, AL 35124-6267 | 2020-10-28 |
| 1073126355 | Steven Thrasher | Dietitian, Registered | 2003 Morningside Dr Nw, Hartselle, AL 35640-4301 | 2020-08-26 |
| 1972114031 | Amie Guice | Dietitian, Registered | 301 Lucerne Blvd, Homewood, AL 35209-6615 | 2020-08-12 |
| 1134739832 | Jessica Clare Broussard | Dietitian, Registered | 1297 Indiana Ave, Thorsby, AL 35171-8149 | 2020-08-06 |
| 1316555717 | Jacqueline Genito | Dietitian, Registered | 1445 Gardenia Ave, Tuscaloosa, AL 35404-3830 | 2020-07-21 |
| 1275151136 | Sunny Cashion | Dietitian, Registered | 1607 Bellingrath Dr, Tuscaloosa, AL 35406-2020 | 2020-07-08 |
| 1376168179 | Ashley Williams | Dietitian, Registered | 8101 Pine Run, Spanish Fort, AL 36527-8651 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE BEACH |
| Zip Code | 36561 |
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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.