JENNIE TILL (NPI# 1790271948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790271948 |
| Entity Type | Individual |
| Full Name | JENNIE TILL |
| Credential | RD/LD |
| Practice Address |
5016 W 4th Ave Stillwater OK 74074-6956 |
| Practice Telephone | 5804910720 |
| Mailing Telephone | 5804910720 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2294 | OK | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1750716767 | 05 |
| Street Address |
5016 W 4TH AVE |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-6956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| 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 |
|---|---|---|---|---|
| 1912506411 | Candance Elaine Gabel | Dietitian, Registered | 220 S 2nd Ct, Stillwater, OK 74074-6732 | 2020-10-26 |
| 1447875471 | Nicholas A Koemel | Dietitian, Registered | 3724 W 32nd Ave, Stillwater, OK 74074-1724 | 2020-06-16 |
| 1942855259 | Jill Ann Moore | Dietitian, Registered | 904 E Krayler Ave, Stillwater, OK 74075-2918 | 2019-08-04 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| 1093984882 | Laura Bisek | Dietitian, Registered | 621 Willard St W, Stillwater, MN 55082-5657 | 2008-02-26 |
| 1497966543 | Lydia Michael Camp | Dietitian, Registered | 5506 W 7th Ave, Stillwater, OK 74074-1124 | 2007-05-24 |
| 1629197678 | Melissa Sue Cox | Dietitian, Registered | 4700 West Mcelroy, Stillwater, OK 74075 | 2007-03-29 |
| 1164515979 | Kari Elizabeth Galliart | Dietitian, Registered | 4109 W Pheasant Rdg, Stillwater, OK 74074-5034 | 2006-10-02 |
| 1144204660 | Rosemary Lynn Yurczyk | Dietitian, Registered | 2220 W 7th Ave, Stillwater, OK 74074-4105 | 2005-11-30 |
| 1144868688 | Megan Kelly | Dietitian, Registered | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2019-12-16 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.