JACLYN LEE ATWATER (NPI# 1659978245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659978245 |
| Entity Type | Individual |
| Full Name | JACLYN LEE ATWATER |
| Credential | MS, RD |
| Practice Address |
415 Yucca Ln Wilmington NC 28412-1042 |
| Practice Telephone | 6098281462 |
| Mailing Telephone | 6098281462 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
415 YUCCA LN |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| 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 |
|---|---|---|---|---|
| 1912521626 | Kenneth Jefferson Allen IIi | Dietitian, Registered | 2106 Barnett Ave, Wilmington, NC 28403-2240 | 2020-05-29 |
| 1720600729 | Melissa Buscetta | Dietitian, Registered | 4647 Fairview Dr Apt 328, Wilmington, NC 28412-3684 | 2020-05-12 |
| 1285270207 | Ruby Ali | Dietitian, Registered | 115 Amberleigh Dr Apt 206, Wilmington, NC 28411-9810 | 2019-11-25 |
| 1184280158 | Melissa Danielle Flynn | Dietitian, Registered | 4702 Bentley Dr, Wilmington, NC 28409-6958 | 2019-05-15 |
| 1013424126 | Kyrstin Brianna Draney | Dietitian, Registered | 5129 Oleander Dr Ste 103, Wilmington, NC 28403-7062 | 2018-01-10 |
| 1588191225 | Rachael Swartz | Dietitian, Registered | 3305 Burnt Mill Dr Ste 100, Wilmington, NC 28403-3067 | 2017-05-12 |
| 1235663014 | April Callahan | Dietitian, Registered | 2 Kristina Ct, Wilmington, DE 19808-4063 | 2017-04-18 |
| 1518416205 | Nancy Lois Angell | Dietitian, Registered | 114 Kenneth Ct, Wilmington, NC 28405-1307 | 2016-09-23 |
| 1891163218 | Stefanie Weiner | Dietitian, Registered | 919 Cloister Rd, Apt E, Wilmington, DE 19809-1018 | 2015-09-02 |
| 1932585957 | Callan E Wall | Dietitian, Registered | 5405 Carolyn Dr, Wilmington, NC 28409-5913 | 2015-07-31 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
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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.