SUE WIMBISH (NPI# 1700327376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700327376 |
| Entity Type | Individual |
| Full Name | SUE WIMBISH |
| Credential | RD |
| Practice Address |
245 Charlois Blvd Winston Salem NC 27103-1507 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3366594777 |
| Practice Fax Number | 3366594798 |
| Mailing Telephone | 3366594777 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L004832 | NC | Dietary & Nutritional Service Providers |
| Street Address |
245 CHARLOIS BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989943 | Kellie Preslar Koontz | Nurse Practitioner | 245 Charlois Blvd, Winston Salem, NC 27103-1507 | 2019-08-27 |
| 1841689916 | Katie Halsey | Advanced Practice Midwife | 245 Charlois Blvd, Winston Salem, NC 27103 | 2015-01-13 |
| 1134558752 | Novant Medical Group Inc. | Obstetrics & Gynecology | 245 Charlois Blvd, Winston Salem, NC 27103-1507 | 2013-11-04 |
| 1558651778 | Preferred Pain Management | Durable Medical Equipment & Medical Supplies | 245 Charlois Blvd, Suite C, Winston Salem, NC 27103-1507 | 2011-04-08 |
| 1710165501 | Preferred Pain Management, P.a | Specialist | 245 Charlois Blvd, Suite C, Winston Salem, NC 27103-1507 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1679192462 | Aries Ford | Dietitian, Registered | 442 Mica Ct, Winston Salem, NC 27103-6461 | 2020-04-11 |
| 1598394710 | Katherine Nicole Best | Dietitian, Registered | 1834 Wake Forest Road, Sutton Sports Performance Center, Room 218, Winston Salem, NC 27109 | 2020-04-08 |
| 1831756188 | Colton R Schille | Dietitian, Registered | 337a Burkewood Dr, Winston Salem, NC 27104-3940 | 2019-05-22 |
| 1104300201 | Jane Anderson | Dietitian, Registered | 835 Lockland Ave, Winston Salem, NC 27103-3707 | 2018-09-24 |
| 1598243081 | Allison Louise Willis | Dietitian, Registered | 2524 Huntington Woods Dr, Winston Salem, NC 27103-6633 | 2018-08-06 |
| 1932653649 | William M Ward | Dietitian, Registered | 222 S Church St, Winston Salem, NC 27101-5313 | 2016-08-10 |
| 1780056911 | Tammy Jean Brewer-sorendo | Dietitian, Registered | 1961 Burgoyne Ct, Winston Salem, NC 27107-3566 | 2015-10-27 |
| 1598132078 | Katherine Dils Ruley | Dietitian, Registered | 2750 Spring Garden Rd, Winston Salem, NC 27106-5714 | 2015-08-31 |
| 1235534686 | Kelli Ioan | Dietitian, Registered | 4913 Lighthouse Ct, Winston Salem, NC 27127-6814 | 2014-10-28 |
| 1982949012 | Debra Lee Benfield | Dietitian, Registered | 623 Fenimore St, Winston Salem, NC 27103-3713 | 2012-11-29 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.