AMBER ROSE FENTRESS (NPI# 1720556590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720556590 |
Entity Type | Individual |
Full Name | AMBER ROSE FENTRESS |
Credential | MS, RDN, LD |
Practice Address |
1465 Laney Walker Blvd # 1040 Augusta GA 30912-0002 |
Mailing Address |
1106 Broad St Apt G Augusta GA 30901-1118 |
Practice Telephone | 7067213448 |
Mailing Telephone | 8127199619 |
Enumeration Date | 2018-11-09 |
Last Update Date | 2018-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | LD005126 | GA | Dietary & Nutritional Service Providers |
Street Address |
1465 LANEY WALKER BLVD # 1040 |
City | AUGUSTA |
State | GA |
Zip Code | 30912-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033749460 | Courtney Tayler Crumpton | Dietitian, Registered | 1465 Laney Walker Blvd # 1040, Augusta, GA 30912-0002 | 2020-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
Find all providers in zip 30912 |
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 |
---|---|---|---|---|
1902403454 | Jacqueline Robilliard Rd Cde LLC Nutrition Care Center | Dietitian, Registered | 219 Cony Rd, Augusta, ME 04330-0502 | 2020-10-07 |
1407463888 | Ria Kathleen Saunders | Dietitian, Registered | 219 Cony Rd # 1, Augusta, ME 04330-0502 | 2020-09-29 |
1952957045 | Libby Ann Dominik | Dietitian, Registered | 4386 Cappeln Osage Rd, Augusta, MO 63332-1118 | 2019-08-14 |
1508362674 | Katelyn Metz | Dietitian, Registered | 1447 Harper St, Augusta, GA 30912-0020 | 2018-04-05 |
1437655669 | Sarah Tankersley | Dietitian, Registered | 1120 15th St # Ba-1565, Augusta, GA 30912-0004 | 2018-04-05 |
1295274199 | Kimberly A Beavers | Dietitian, Registered | 3154 Perimeter Pkwy, Suite 2, Augusta, GA 30909-4804 | 2017-02-13 |
1821449240 | Christopher Rashun Nesbitt | Dietitian, Registered | 2772 Huntcliffe Dr, Augusta, GA 30909-0661 | 2016-06-27 |
1972969475 | Nellie Rovansek | Dietitian, Registered | 2219 Dartmouth Rd, Augusta, GA 30904-3429 | 2016-01-13 |
1538419007 | Johanna M Whisenhunt | Dietitian, Registered | 1408 Leigh Court, Augusta, GA 30909-6738 | 2012-09-12 |
1417260407 | Telenutrition Therapy Inc | Dietitian, Registered | 810 Camellia Rd, Augusta, GA 30909-2734 | 2010-07-19 |
Find all providers in AUGUSTA |
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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.