MS. CYNTHIA SUE WALLERICH (NPI# 1821184300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821184300 |
| Entity Type | Individual |
| Full Name | MS. CYNTHIA SUE WALLERICH |
| Credential | MS, RD, LD |
| Practice Address |
One Freedom Way Medical Center Routing Symbol 295 Augusta GA 30904 |
| Mailing Address |
621 Carlton Drive Augusta GA 30909-3505 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 7067330188 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 001616 | GA | Dietary & Nutritional Service Providers |
| Street Address |
ONE FREEDOM WAY MEDICAL CENTER ROUTING SYMBOL 295 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285619502 | Keith Monroe | Psychologist | One Freedom Way, Augusta, GA 30904-6285 | 2005-12-09 |
| 1881248763 | Carlisle Hamilton Vason | Dentist | One Freedom Way, Dental Service, Augusta, GA 30904 | 2019-07-29 |
| 1114448156 | Jennifer Rose Bailey | Student in an Organized Health Care Education/Training Program | One Freedom Way, Augusta, GA 30904 | 2017-06-29 |
| 1942679212 | Stephen Smith | Counselor | One Freedom Way, Charlie Norwood Va Medical Center, Augusta, GA 30904 | 2015-09-17 |
| 1356750194 | Lisa Ann Lane | Registered Nurse | One Freedom Way, Augusta, GA 30904 | 2014-08-06 |
| 1760819205 | John Phillip Joe | Recreation Therapist | One Freedom Way, Augusta, GA 30904-6285 | 2013-09-30 |
| 1841626074 | Sherie Lenell Davis | Counselor | One Freedom Way, Augusta, GA 30904-6285 | 2013-09-19 |
| 1124338215 | Stanley Borden IIi | Registered Nurse | One Freedom Way, Augusta, GA 30904-6285 | 2010-10-07 |
| 1659473098 | David Enrique Rivera | Colon & Rectal Surgery | One Freedom Way, Augusta Veterans Affairs Medical Center, Augusta, GA 30904-6285 | 2006-09-05 |
| 1437160967 | Federico Hunt | Physician Assistant | One Freedom Way, Augusta Va Medical Center, Augusta, GA 30904 | 2006-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
|---|---|---|---|---|
| 1902403454 | Jacqueline Robilliard Rd Cde LLC Nutrition Care Center | Dietitian, Registered | 219 Cony Rd, Augusta, ME 04330-0502 | 2020-10-07 |
| 1407463888 | Ria Kathleen Saunders | Dietitian, Registered | 219 Cony Rd # 1, Augusta, ME 04330-0502 | 2020-09-29 |
| 1952957045 | Libby Ann Dominik | Dietitian, Registered | 4386 Cappeln Osage Rd, Augusta, MO 63332-1118 | 2019-08-14 |
| 1720556590 | Amber Rose Fentress | Dietitian, Registered | 1465 Laney Walker Blvd # 1040, Augusta, GA 30912-0002 | 2018-11-09 |
| 1508362674 | Katelyn Metz | Dietitian, Registered | 1447 Harper St, Augusta, GA 30912-0020 | 2018-04-05 |
| 1437655669 | Sarah Tankersley | Dietitian, Registered | 1120 15th St # Ba-1565, Augusta, GA 30912-0004 | 2018-04-05 |
| 1295274199 | Kimberly A Beavers | Dietitian, Registered | 3154 Perimeter Pkwy, Suite 2, Augusta, GA 30909-4804 | 2017-02-13 |
| 1821449240 | Christopher Rashun Nesbitt | Dietitian, Registered | 2772 Huntcliffe Dr, Augusta, GA 30909-0661 | 2016-06-27 |
| 1972969475 | Nellie Rovansek | Dietitian, Registered | 2219 Dartmouth Rd, Augusta, GA 30904-3429 | 2016-01-13 |
| 1538419007 | Johanna M Whisenhunt | Dietitian, Registered | 1408 Leigh Court, Augusta, GA 30909-6738 | 2012-09-12 |
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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.