FREELY FED (NPI# 1770184947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770184947 |
| Entity Type | Organization |
| Organization Name | FREELY FED |
| Practice Address |
1532 Wickerby Ct Matthews NC 28105-0322 |
| Practice Telephone | 2762065408 |
| Mailing Telephone | 2762065408 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | MADISON ROWAN (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 2762065408 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
1532 WICKERBY CT |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-0322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| 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 |
|---|---|---|---|---|
| 1710470943 | Jane Schafer | Dietitian, Registered | 1315 Matthews Mint Hill Rd Ste 2b, Matthews, NC 28105-2401 | 2018-06-12 |
| 1043743016 | Michelle Hitt | Dietitian, Registered | 321 Forest Trail Dr, Matthews, NC 28105-6595 | 2017-04-06 |
| 1740648567 | Heather Sylvester | Dietitian, Registered | 5218 Shannamara Dr, Matthews, NC 28104-0652 | 2016-02-08 |
| 1437577210 | Shannon Muckenfuss | Dietitian, Registered | 165 S Trade St Ste 2c, Matthews, NC 28105-5771 | 2014-03-31 |
| 1922351469 | Corrie Darcy Thomas | Dietitian, Registered | 1205 Driftway Point Rd, Matthews, NC 28105-8887 | 2012-10-22 |
| 1922156322 | Erika Marie Spann | Dietitian, Registered | 2536a Plantation Center Dr, Matthews, NC 28105-5298 | 2007-01-08 |
| 1710077391 | Judy Ellen Fischer | Dietitian, Registered | 148 E Charles St Ste D, Matthews, NC 28105-4911 | 2006-10-13 |
| 1003908294 | Theresa B Araya | Dietitian, Registered | 632 Matthews Mint Hill Rd Ste C, Matthews, NC 28105-1765 | 2006-09-28 |
| 1831790286 | Demi Lane Eckhoff | Dietitian, Registered | 1212 Mann Dr Ste 100, Matthews, NC 28105-5511 | 2020-11-03 |
| 1205477858 | Charlotte Dietitians LLC | Dietitian, Registered | 1212 Mann Dr Ste 100, Matthews, NC 28105-5511 | 2019-10-04 |
| Find all providers in MATTHEWS | ||||
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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.