BLUE TREE NUTRITION (NPI# 1811518103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811518103 |
| Entity Type | Organization |
| Organization Name | BLUE TREE NUTRITION |
| Practice Address |
75 E Pine St Zionsville IN 46077-1529 |
| Mailing Address |
Po Box 73 Carmel IN 46082-0073 |
| Practice Telephone | 4109634782 |
| Practice Fax Number | 3176717633 |
| Mailing Telephone | 4109634782 |
| Mailing Fax Number | 3176717633 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | MRS. VALERIE LYNN POLLEY (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 4109634782 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | TYPE 1 | 1619321973 | 01 |
| Street Address |
75 E PINE ST |
| City | ZIONSVILLE |
| State | IN |
| Zip Code | 46077-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174029789 | Amelia S Bruner | Family Medicine | 1325 Wood Valley Ct, Zionsville, IN 46077 | 2018-04-03 |
| 1982073078 | Visionelle Eyecare Inc | Clinic/Center | 6618 Whitestown Parkway, Zionsville, IN 46077 | 2015-09-18 |
| 1487065272 | Michael J Gallagher | Family Medicine | 51 N Ford Rd, Zionsville, IN 46077 | 2014-05-14 |
| 1518377381 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6650 Whitestown Parkway, Whitestown, IN 46077 | 2014-05-02 |
| 1962828418 | Gordon Charles Colson | Family Medicine | 6733 Jons Station, Zionsville, IN 46077 | 2014-03-07 |
| 1285977033 | Vivian Cruz Nanagas | Allergy & Immunology | 4400 Weston Pointe Dr Ste 150, Zionsville, IN 46077 | 2013-03-30 |
| 1861643926 | Mark Chandrahant Lakshmanan | Internal Medicine | 1955 Mulsanne Drive, Zionsville, IN 46077 | 2008-10-08 |
| 1275780363 | Sarah S Alexander | Occupational Therapist | 825 West Pine St, Zionsville, IN 46077 | 2008-08-20 |
| 1346405909 | Harold Hibbs | Internal Medicine | 1475 West Oak Street #138, Zionsville, IN 46077 | 2008-07-23 |
| 1548444771 | Christopher C Romas, D.d.s., P.C. | Clinic/Center | 1155 Parkway Dr., Suite 100, Zionsville, IN 46077 | 2007-12-24 |
| Find all providers in zip 46077 | ||||
| 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 |
|---|---|---|---|---|
| 1326601576 | John Flood | Dietitian, Registered | 7637 E Stonegate Dr Ste 4, Zionsville, IN 46077-8565 | 2019-04-15 |
| 1225459779 | Joann Gingerich | Dietitian, Registered | 6514 Hyde Park Dr, Zionsville, IN 46077-8258 | 2014-01-01 |
| 1932234614 | Katherine Anne Schmid | Dietitian, Registered | 11193 Glen Avon Way, Zionsville, IN 46077-1287 | 2007-02-22 |
| 1669002143 | Kayleigh Marie Mouat | Dietitian, Registered | 1650 W Oak St Ste 203, Zionsville, IN 46077-3836 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
| 1457950099 | Pablo C Torres Aguilar | Dietitian, Registered | 745 Agriculture Mall Dr Ofc B239, West Lafayette, IN 47907-2009 | 2020-10-24 |
| 1669079562 | Michele Murphy Wise | Dietitian, Registered | 5105 Woodmere Ct, Valparaiso, IN 46383-6672 | 2020-10-04 |
| 1760099956 | Jessica Thornton | Dietitian, Registered | 5919 Pine Bluff Dr, Avon, IN 46123-6681 | 2020-09-30 |
| 1194332346 | Nutrition With Megan, LLC | Dietitian, Registered | 1950 East Greyhound Pass, Suite 18 #179, Carmel, IN 46033-7730 | 2020-09-30 |
| 1114533445 | Barissa Larson | Dietitian, Registered | 12192 Hoosier Rd, Fishers, IN 46037-9419 | 2020-09-22 |
| 1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
| 1174138077 | Monica Coffey | Dietitian, Registered | 2673 E 100 N, Anderson, IN 46012-9684 | 2020-09-09 |
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | ZIONSVILLE |
| Zip Code | 46077 |
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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.