JULIE A DE ROUSH (NPI# 1740212638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740212638 |
| Entity Type | Individual |
| Full Name | JULIE A DE ROUSH |
| Credential | R.D. |
| Practice Address |
5666 East State St Rockford IL 61108-2472 |
| Practice Telephone | 8152262000 |
| Practice Fax Number | 8153817526 |
| Mailing Telephone | 8152262000 |
| Mailing Fax Number | 8153817526 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | IL | Dietary & Nutritional Service Providers |
| Street Address |
5666 EAST STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902833999 | Mete Korkmaz | Internal Medicine | 5666 East State St, Rockford, IL 61108-2472 | 2006-06-27 |
| 1831207174 | Pia Angela Ong | Hospitalist | 5666 East State St, Rockford, IL 61108-2472 | 2006-08-28 |
| 1780604900 | Anil J Amin | Hospitalist | 5666 East State St, Rockford, IL 61108-2472 | 2006-07-20 |
| 1427080811 | Lenore C Conboy | Dietitian, Registered | 5666 East State St, Rockford, IL 61108-2472 | 2006-07-07 |
| 1639100324 | Priscilla M Babler | Dietitian, Registered | 5666 East State St, Rockford, IL 61108-2472 | 2006-07-05 |
| 1760411367 | Allan Ong | Hospitalist | 5666 East State St, Rockford, IL 61108-2472 | 2006-07-03 |
| 1124058599 | Charles D Washington | Emergency Medicine | 5666 East State St, Rockford, IL 61108-2472 | 2006-07-03 |
| 1871523258 | George Gorchynsky | Emergency Medicine | 5666 East State St, Rockford, IL 61108-2472 | 2006-07-03 |
| 1497784797 | Gregory Bullis | Emergency Medicine | 5666 East State St, Rockford, IL 61108-2472 | 2006-07-01 |
| 1376570846 | Richard Nora | Internal Medicine | 5666 East State St, Rockford, IL 61108-2472 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| 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 |
|---|---|---|---|---|
| 1902404908 | Christine L Lauer | Dietitian, Registered | 24 Coral Dr Ne, Rockford, MI 49341-8514 | 2020-10-12 |
| 1336758903 | Sara Mattillion | Dietitian, Registered | 930 Winthrop Ln, Rockford, IL 61107-3446 | 2020-07-29 |
| 1316560220 | Jacqueline Marie Kirchner | Dietitian, Registered | 3827 Abbotsford Rd, Rockford, IL 61107-3669 | 2020-05-26 |
| 1548811995 | Allison Vander Heyden | Dietitian, Registered | 122 Sherman St, Rockford, IL 61103-6356 | 2019-09-26 |
| 1730427501 | Patricia Mary Beckemeyer | Dietitian, Registered | 251 Bienterra Trl, Apt 8, Rockford, IL 61107-5870 | 2013-01-29 |
| 1376760405 | Raylene M Foster | Dietitian, Registered | 3585 River Edge View Ct Ne, Rockford, MI 49341-7220 | 2007-04-19 |
| 1275162653 | Andrea Contreras | Dietitian, Registered | 4615 E State St Ste 202, Rockford, IL 61108-2158 | 2020-04-07 |
| 1376170183 | Nicole Ann O'neill | Dietitian, Registered | 5666 E State St, Rockford, IL 61108-2425 | 2020-03-24 |
| 1063914760 | Erika J Oltmanns | Dietitian, Registered | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-03-08 |
| 1730696113 | Alyssa Klehr | Dietitian, Registered | 4615 E State St Ste 202, Rockford, IL 61108-2158 | 2018-01-06 |
| Find all providers in ROCKFORD | ||||
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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.