EVETHA MALCOLM-THERIAULT (NPI# 1659891521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659891521 |
| Entity Type | Individual |
| Full Name | EVETHA MALCOLM-THERIAULT |
| Credential | RD |
| Practice Address |
1008 Minnequa Ave St. Mary-corwin Medical Center /diabetes Health Center Pueblo, Co 81004 CO 81004 |
| Mailing Address |
1008 Minnequa Ave Rm 4206 Pueblo CO 81004-3733 |
| Practice Telephone | 7195575955 |
| Practice Fax Number | 7195575988 |
| Mailing Telephone | 7195575955 |
| Mailing Fax Number | 7195575988 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DTND346 | AK | Dietary & Nutritional Service Providers |
| Street Address |
1008 MINNEQUA AVE ST. MARY-CORWIN MEDICAL CENTER /DIABETES HEALTH CENTER |
| City | PUEBLO, CO 81004 |
| State | CO |
| Zip Code | 81004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| 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 |
|---|---|---|---|---|
| 1275134157 | Lillian Mary Berman | Dietitian, Registered | 4343 Montview Blvd, Denver, CO 80207-3727 | 2020-11-05 |
| 1598364101 | Alyssa Thomas | Dietitian, Registered | 2500 S York St Apt 304, Denver, CO 80210-5260 | 2020-10-23 |
| 1235738055 | Sara Naouchi | Dietitian, Registered | 3451 Prairie Bluff Cir, Colorado Springs, CO 80908-5242 | 2020-10-22 |
| 1447858840 | Jessica Lee Drost | Dietitian, Registered | 1000 Mirrormere Cir, Fort Collins, CO 80526-1804 | 2020-10-16 |
| 1598363046 | Aryn K Doll | Dietitian, Registered | 1515 W Alaska Pl, Denver, CO 80223-1901 | 2020-10-15 |
| 1194323766 | Talia Adler | Dietitian, Registered | 1090 N Lafayette St Apt 502, Denver, CO 80218-3153 | 2020-10-15 |
| 1497353460 | Emilia Mcvey | Dietitian, Registered | 304 Victoria St, Berthoud, CO 80513-1388 | 2020-10-13 |
| 1275130866 | Melissa Pipkin | Dietitian, Registered | 2542 Brenna Way, Grand Junction, CO 81505-1421 | 2020-10-06 |
| 1811594070 | Emily L Harris | Dietitian, Registered | 9073 Cody Cir, Westminster, CO 80021-4629 | 2020-10-01 |
| 1821695040 | Aimee Kennedy | Dietitian, Registered | 5256 S Perry St, Littleton, CO 80123-1752 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | PUEBLO, CO 81004 |
| Zip Code | 81004 |
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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.