MRS. MARGOT KORB (NPI# 1780185983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780185983 |
| Entity Type | Individual |
| Full Name | MRS. MARGOT KORB |
| Other Name | MARGOT CICCARELLI |
| Credential | RD |
| Practice Address |
3851 Roger Brooke Drive Bamce Mche-qd (creds) Fort Sam Houston TX 78234-6200 |
| Mailing Address |
2260 Easley St San Antonio TX 78234-1310 |
| Practice Telephone | 7173796945 |
| Mailing Telephone | 7173796945 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 85006 | TX | Dietary & Nutritional Service Providers |
| Street Address |
3851 ROGER BROOKE DRIVE BAMCE MCHE-QD (CREDS) |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266703 | Kristin K Saenz | Internal Medicine | 3851 Roger Brooke Drive, Bamc Mche-qd (credentials), Fort Sam Houston, TX 78234-6200 | 2005-06-22 |
| 1992226815 | Benedicta Osei | Pharmacist | 3851 Roger Brooke Drive, Brooke Army Medical Center, Fort Sam Houston, TX 78234-6200 | 2017-06-30 |
| 1770909996 | Elizabeth Esther Banda | Counselor | 3851 Roger Brooke Drive, Mche-qd (creds) Bamc, Fort Sam Houston, TX 78234-6200 | 2014-03-12 |
| 1912248055 | Panfilo Castro Delacruz | Internal Medicine | 3851 Roger Brooke Drive, Mche-qd (creds) Bamc, Fort Sam Houston, TX 78234-6200 | 2013-03-14 |
| 1215276613 | Vu Dang | Pharmacist | 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200 | 2013-02-05 |
| 1699047852 | Jason Kelly Marquart | Nurse Practitioner | 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2012-02-03 |
| 1851675565 | Yvette Woods | Military Health Care Provider | 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2011-09-30 |
| 1619259686 | Emily Welsh Martin | Occupational Therapist | 3851 Roger Brooke Drive, Brooke Army Medical Center Mche-qd/credentials, Fort Sam Houston, TX 78234-6200 | 2011-09-15 |
| 1427341700 | Katharine Kyler Roberts | Internal Medicine | 3851 Roger Brooke Drive, Mcheqd, Fort Sam Houston, TX 78234-6200 | 2011-05-19 |
| 1831497908 | Frank Carlton Blake | Social Worker | 3851 Roger Brooke Drive, Bamc-mche (creds), Fort Sam Houston, TX 78234-6200 | 2011-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| 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 |
|---|---|---|---|---|
| 1497092217 | Amanda Marie Cain | Dietitian, Registered | Bldg 1179 Schofield Rd, Fort Sam Houston, TX 78234 | 2013-01-14 |
| 1306091129 | Kim N Thomsen | Dietitian, Registered | 3851 Roger Brooke Drive, Bamc, Nutrition Care Div (attn: Mchf-df), Fort Sam Houston, TX 78234 | 2008-11-20 |
| 1770632028 | Beverly Diane Patton | Dietitian, Registered | 2950 Koehler Rd, Fort Sam Houston, TX 78234-7535 | 2007-01-09 |
| 1619935970 | Laurie Ellen Sweet | Dietitian, Registered | 2250 Stanley Rd, Attn Mccs-ca, Suite 276a, Fort Sam Houston, TX 78234-2640 | 2006-05-03 |
| 1154311504 | Anuli Lovett Anyachebelu | Dietitian, Registered | Mche-qd/credentials 3851 Roger Brooke Dr., Brooke Army Medical Center, Fort Sam Houston, TX 78234-6200 | 2005-10-26 |
| 1871113241 | Dustin Lee | Dietitian, Registered | 3551 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4504 | 2020-04-25 |
| 1952943094 | Emily Rose Eberlein | Dietitian, Registered | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-10-10 |
| 1497397533 | Olivia Arnold | Dietitian, Registered | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-10-10 |
| 1710529854 | Alexis Caponera | Dietitian, Registered | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-10-10 |
| 1336781483 | Travis Jared Swanson | Dietitian, Registered | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-10-10 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.