REAL LIFE NUTRITION, INC. (NPI# 1801825534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801825534 |
| Entity Type | Organization |
| Organization Name | REAL LIFE NUTRITION, INC. |
| Practice Address |
1030 S Jefferson St Ste 200 Roanoke VA 24016-4418 |
| Mailing Address |
1802 Arlington Rd Sw Roanoke VA 24015-2808 |
| Practice Telephone | 5407970593 |
| Mailing Telephone | 5407970593 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | MRS. KATHERINE M SHAW (OWNER) |
| Authorized Official Telephone | 5407970593 |
| Authorized Official Credential | R.D., C.D.E |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 846139 | VA | Dietary & Nutritional Service Providers |
| Street Address |
1030 S JEFFERSON ST STE 200 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| 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 |
|---|---|---|---|---|
| 1356831234 | Mary Clifford Brewer | Dietitian, Registered | 6451 Cotton Hill Rd, Roanoke, VA 24018-6911 | 2018-05-16 |
| 1841727989 | Kelsie Lewis | Dietitian, Registered | 14953 Seventeen Lakes Blvd, Roanoke, TX 76262-3732 | 2017-05-19 |
| 1679013965 | Jessica Dunham | Dietitian, Registered | 3640 Bushdale Rd, Roanoke, VA 24014-6014 | 2017-03-06 |
| 1073864393 | Lakshmi Mahan | Dietitian, Registered | 2125 Yellow Mountain Rd Se Apt 104, Roanoke, VA 24014-2422 | 2012-09-26 |
| 1639325558 | Brenda Kay Lucas | Dietitian, Registered | 3721 Autumn Dr, Roanoke, VA 24012-6457 | 2008-08-12 |
| 1023203262 | Stephanie M Murray | Dietitian, Registered | Bellview At Jefferson Street, Crmh Third Floor South, Roanoke, VA 24014 | 2007-09-11 |
| 1093824906 | The Nutrition Resource, Inc. | Dietitian, Registered | 1910 Electric Rd, Roanoke, VA 24018-1621 | 2006-08-30 |
| 1801863782 | Donald E. Mankie | Dietitian, Registered | 4633 Brambleton Ave, Suite 101, Roanoke, VA 24018-3410 | 2006-03-01 |
| 1821647330 | Jearls Nutrition, LLC | Dietitian, Registered | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2019-09-06 |
| 1033779814 | Kristie Jearls | Dietitian, Registered | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2019-06-14 |
| Find all providers in ROANOKE | ||||
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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.