MRS. LERA BETHANY BOOTH (NPI# 1780964494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780964494 |
| Entity Type | Individual |
| Full Name | MRS. LERA BETHANY BOOTH |
| Credential | R.D. L.D. |
| Practice Address |
138 W Gibson St Hartwell GA 30643-1847 |
| Practice Telephone | 7068566245 |
| Mailing Telephone | 7068566245 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD002511 | GA | Dietary & Nutritional Service Providers |
| Street Address |
138 W GIBSON ST |
| City | HARTWELL |
| State | GA |
| Zip Code | 30643-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245272954 | Hartwell Emergency Services, LLC | Emergency Medicine | 138 W Gibson St, Hartwell, GA 30643-1847 | 2006-06-10 |
| 1548714512 | Gina Marie Looney | Nurse Practitioner | 138 W Gibson St, Hartwell, GA 30643-1847 | 2016-08-08 |
| 1588021299 | Iti Kansal | Nurse Practitioner | 138 W Gibson St, Hartwell, GA 30643-1847 | 2016-01-26 |
| 1962540849 | Hartwell Emergency Physicians LLC | Emergency Medicine | 138 W Gibson St, Emergency Department, Hartwell, GA 30643-1847 | 2007-02-02 |
| 1871696260 | The Cobb Foundation, Inc. | General Acute Care Hospital | 138 W Gibson St, Hartwell, GA 30643-1847 | 2006-09-07 |
| 1871609735 | The Cobb Foundation, Inc. | Medicare Defined Swing Bed Unit | 138 W Gibson St, Hartwell, GA 30643-1847 | 2006-08-22 |
| 1770516684 | Vincent Ferguson | Emergency Medicine | 138 W Gibson St, Hartwell, GA 30643-1847 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801101241 | Teresa Terri D Wofford | Speech-Language Pathologist | 456 Tuscarora Tr., Hartwell, GA 30643 | 2010-08-10 |
| 1982784583 | Lee Dental Group PC | Dentist | 30 Chandler Center, Hartwell, GA 30643 | 2006-10-17 |
| 1518051556 | Eugene Suarez Rodillo | General Acute Care Hospital | 111 South Webb Street, Hartwell, GA 30643 | 2006-10-03 |
| 1003901653 | Julia Florence Freeman | Registered Nurse | 696 Hickory Crossing Road, Hartwell, GA 30643 | 2006-10-03 |
| 1669565172 | Hart County Board of Health | Public Health or Welfare | 64 Reynolds Street, Hartwell, GA 30643 | 2006-10-02 |
| 1063506525 | Penney P Whiting | Licensed Practical Nurse | 287 Old Reed Creek Rd, Hartwell, GA 30643 | 2006-10-02 |
| 1508874561 | Hartwell Chiropractic Clinic | Chiropractor | 351 W Franklin St, Hartwell, GA 30643 | 2006-08-04 |
| 1386667152 | Wayne Martin Scott | Family Medicine | 162 Cade St, Suite D, Hartwell, GA 30643 | 2006-07-25 |
| 1902296213 | Anmed Health | Surgery | 28 Chandler Ctr, Hartwell, GA 30643 | 2015-01-26 |
| 1093064602 | Christopher Heath Seibert | Dentist | 30 Chandler Center, Hartwell, GA 30643 | 2012-08-29 |
| Find all providers in zip 30643 | ||||
| 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 |
|---|---|---|---|---|
| 1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
| 1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
| 1033717830 | Ariathni Pinacas Powell | Dietitian, Registered | 5761 Hancock Dr, Social Circle, GA 30025-4705 | 2020-10-14 |
| 1467050716 | Louise Brown | Dietitian, Registered | 4075 Cherry Grove Rd, Ball Ground, GA 30107-3295 | 2020-10-09 |
| 1154928513 | Alicia Adams Polk | Dietitian, Registered | 360 Southgate Dr, Locust Grove, GA 30248-4235 | 2020-10-07 |
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1881291532 | Noelle Yaeger Oleary | Dietitian, Registered | 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 | 2020-10-06 |
| 1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
| 1356948293 | Brittany Mitchell Moment | Dietitian, Registered | 2913 Allie Rd, Greenville, GA 30222-2337 | 2020-10-05 |
| 1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. LERA BETHANY BOOTH.
| 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.