THERESA HEDRICK (NPI# 1811404759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811404759 |
| Entity Type | Individual |
| Full Name | THERESA HEDRICK |
| Credential | RDN |
| Practice Address |
305 Sw C Ave Ste 1 Corvallis OR 97333-4400 |
| Mailing Address |
6133 Sw Country Club Dr Corvallis OR 97333-1307 |
| Practice Telephone | 5412865209 |
| Practice Fax Number | 5412867154 |
| Mailing Telephone | 4045020073 |
| Enumeration Date | 2017-12-31 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-D-10165887 | OR | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 408 Sw Monroe Ave Ste M252, Corvallis, OR 97333 | 5412865209 | |
| 518 Sw 3rd St Ste C, Corvallis, OR 973334439 | 5412865209 | |
| 6133 Sw Country Club Dr, Corvallis, OR 973331307 | 4045020073 |
| Street Address |
305 SW C AVE STE 1 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154732469 | Jill Popowski | Specialist | 305 Sw C Ave Ste 1, Corvallis, OR 97333-4400 | 2014-05-09 |
| 1174145049 | Hedrick Food & Nutrition Consulting, LLC | Dietitian, Registered | 305 Sw C Ave Ste 1, Corvallis, OR 97333-4400 | 2020-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| 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 |
|---|---|---|---|---|
| 1952902751 | Elise Michelle Edward | Dietitian, Registered | 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 | 2020-11-06 |
| 1912546177 | Keelie Korsness | Dietitian, Registered | 260 Sw Madison Ave Ste 109, Corvallis, OR 97333-4728 | 2020-01-04 |
| 1053958116 | Rachel Evon Elzinga | Dietitian, Registered | 1445 Nw Division St Apt 5, Corvallis, OR 97330-4557 | 2019-12-06 |
| 1063057305 | Madison Nicole Delmendo | Dietitian, Registered | 1680 Se Crystal Lake Dr, Corvallis, OR 97333-1281 | 2019-11-11 |
| 1396393757 | Anastasia Kasianchuk | Dietitian, Registered | 2955 Nw Monterey Dr, Corvallis, OR 97330-3434 | 2019-08-29 |
| 1861779118 | Cindy Kitchen | Dietitian, Registered | 3517 Nw Samaritan Dr Ste 200, Corvallis, OR 97330-3767 | 2011-11-14 |
| 1639476708 | Elizabeth Anne Harris | Dietitian, Registered | 4989 Sw Roseberry St, Corvallis, OR 97333-1360 | 2011-02-24 |
| 1538461603 | Judy A. Sundquist | Dietitian, Registered | 7928 Nw Arboretum Road, Corvallis, OR 97330-9538 | 2010-11-23 |
| 1245300672 | Karen Jean Kreamer | Dietitian, Registered | 3600 Nw Samaritan Dr., Corvallis, OR 97330-5130 | 2006-11-09 |
| 1275522989 | Taiga B Sudakin | Dietitian, Registered | 310 Nw 5th St, Ste107, Corvallis, OR 97330-4842 | 2005-10-14 |
| Find all providers in CORVALLIS | ||||
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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.