JESSICA BERG (NPI# 1770930208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770930208 |
| Entity Type | Individual |
| Full Name | JESSICA BERG |
| Credential | MS, RDN, LD |
| Practice Address |
10105 N Bridgewater Cir Owasso OK 74055-7727 |
| Mailing Address |
1617 S Columbia Pl Tulsa OK 74104-5905 |
| Practice Telephone | 9182724207 |
| Practice Fax Number | 8662961005 |
| Mailing Telephone | 8022990138 |
| Mailing Fax Number | 8662961005 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2119 | OK | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942572219 | Jessica Hanson Berg | Physician Assistant | 808 S Buchanan St, Amarillo, TX 79101-3604 | 2012-02-02 |
| 1063041705 | Jessica Jo Berg | Massage Therapist | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6216 | 2020-04-04 |
| 1891346755 | Jessica Lynn Berg | Nurse Anesthetist, Certified Registered | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-09-23 |
| 1457864506 | Jessica Berg | Physician Assistant | 120 Spalding Dr Ste 207, Naperville, IL 60540-6520 | 2017-11-12 |
| 1003355611 | Jessica Danielle Berg | Licensed Vocational Nurse | 2801 Meadow Lark Dr, San Diego, CA 92123-2709 | 2017-02-15 |
| 1003210097 | Jessica Beth Berg | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2014-10-20 |
| 1194971127 | Jessica Berg | Obstetrics & Gynecology | 1840 Mease Dr, Suite 110, Safety Harbor, FL 34695-6602 | 2008-08-11 |
| 1760696942 | Jessica Jo Berg | Audiologist | 1220 Division Ave, Tacoma, WA 98403-1321 | 2007-05-09 |
| 1821155771 | Jessica Maree Berg | Counselor | 15600 Redmond Way, Suite 101, Redmond, WA 98052-3862 | 2007-01-02 |
| Street Address |
10105 N BRIDGEWATER CIR |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-7727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902299639 | Nutrition Specialists of Northeastern Oklahoma | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2015-03-04 |
| 1376022400 | Nicole Marie Mccowan | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2018-08-09 |
| 1598205130 | Megan Mcfarland | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2017-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| 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 |
|---|---|---|---|---|
| 1437756947 | Malorie Scherf | Dietitian, Registered | 8751 N 97th East Ave Apt 917, Owasso, OK 74055-6887 | 2020-10-07 |
| 1902299639 | Nutrition Specialists of Northeastern Oklahoma | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2015-03-04 |
| 1417349291 | Rachel Benight | Dietitian, Registered | 10318 N 138th East Ave Ste 101, Owasso, OK 74055-4682 | 2015-03-03 |
| 1013294255 | Jessica Tilley | Dietitian, Registered | 8505 N 129th East Ave, Owasso, OK 74055-7168 | 2011-11-15 |
| 1871764126 | Kristy Lynne Beissel | Dietitian, Registered | 15334 E 89th Ct N, Owasso, OK 74055-8508 | 2008-03-14 |
| 1104018266 | Sarah Jennette Berry | Dietitian, Registered | 10306 N 138th East Ave, Owasso, OK 74055-4665 | 2007-08-13 |
| 1528114873 | Beverly Lynn Prentice | Dietitian, Registered | 10105 Bridgewater Cir, Owasso, OK 74055-7727 | 2007-01-26 |
| 1376022400 | Nicole Marie Mccowan | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2018-08-09 |
| 1972014439 | Elizabeth A. Tooley | Dietitian, Registered | 10512 N 110th East Ave, Owasso, OK 74055-6636 | 2017-10-23 |
| 1598205130 | Megan Mcfarland | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2017-03-01 |
| Find all providers in OWASSO | ||||
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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.