MRS. EMILEE PACK (NPI# 1780993261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780993261 |
| Entity Type | Individual |
| Full Name | MRS. EMILEE PACK |
| Credential | RD, LD, CDE |
| Practice Address |
202 Maplewood Ave Ronceverte WV 24970-1334 |
| Mailing Address |
17768 Friars Hill Rd Frankford WV 24938-9605 |
| Practice Telephone | 3047933545 |
| Mailing Telephone | 3044973751 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2015-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 790 | WV | Dietary & Nutritional Service Providers |
| Street Address |
202 MAPLEWOOD AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071285 | Leslie Abigail Winters | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2005-08-30 |
| 1689054363 | Anastasia Yi | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2015-06-08 |
| 1184968562 | Atomic Anesthesia Pllc | Anesthesiology | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2012-11-26 |
| 1093092033 | Jessica R Davis | Nurse Anesthetist, Certified Registered | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-11-04 |
| 1427338979 | Yelena V Johnson | Registered Nurse | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-08-27 |
| 1396024014 | Jessica Sue Aliff | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-08-11 |
| 1447581434 | Greenbrier Vmc, LLC | Clinic/Center | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2010-01-15 |
| 1306170048 | Ronceverte Physician Group LLC | Internal Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-09-29 |
| 1003048323 | Brian Rodgers | Registered Nurse | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-08-20 |
| 1396979498 | Wv Emergency Physician Partners Pllc | Emergency Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| 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 |
|---|---|---|---|---|
| 1952917254 | Kelsey Peters | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2020-09-22 |
| 1184285728 | Savannah Foster | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2019-06-25 |
| 1386198240 | Erin Allen | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2016-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403522 | Faith Cole | Dietitian, Registered | 6261 Rosalind Rd, Huntington, WV 25705-2335 | 2020-09-27 |
| 1851906523 | Emily Rodriguez | Dietitian, Registered | 800 Pennsylvania Ave # A, Charleston, WV 25302-3351 | 2020-09-10 |
| 1760092084 | Jessica C Walden | Dietitian, Registered | 1022 Nashmont Dr, Ona, WV 25545-9541 | 2020-08-02 |
| 1780205898 | Morgan Elizabeth Teeters | Dietitian, Registered | 217 Camden Cir Apt 307, Scott Depot, WV 25560-0049 | 2020-04-29 |
| 1932756269 | Angel Cunningham | Dietitian, Registered | 140 Main Ave Apt 24, Nitro, WV 25143-1277 | 2019-08-21 |
| 1912467721 | Catherine L Shaw | Dietitian, Registered | 274 New England Cir, Fairmont, WV 26554-7464 | 2019-03-20 |
| 1336621218 | Nutrition You, LLC | Dietitian, Registered | 287 Arbogast Ln, Morgantown, WV 26508-8811 | 2018-09-06 |
| 1134601453 | Rebecca Dattola | Dietitian, Registered | 600 Suncrest Town Centre Dr Ste 200, Morgantown, WV 26505-1873 | 2018-09-04 |
| 1619473048 | Megan Burrell | Dietitian, Registered | 37 Chestnut Dr, Beckley, WV 25801-7101 | 2018-04-04 |
| 1891297248 | Nutrisense Nutrition Consulting, LLC | Dietitian, Registered | 18 Meadow Lane, Scott Depot, WV 25560 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
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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.