CARLA JEAN STEVENS (NPI# 1821466673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821466673 |
| Entity Type | Individual |
| Full Name | CARLA JEAN STEVENS |
| Credential | RD, CD |
| Practice Address |
5000 Memorial Dr Two Rivers WI 54241-3900 |
| Practice Telephone | 9207945114 |
| Practice Fax Number | 9207945492 |
| Mailing Telephone | 9207945114 |
| Mailing Fax Number | 9207945492 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 930302 | WI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538498464 | Carla Jane Stevens | Skilled Nursing Facility | 7 Highwood Street, Waterville, ME 04901 | 2009-12-24 |
| Street Address |
5000 MEMORIAL DR |
| City | TWO RIVERS |
| State | WI |
| Zip Code | 54241-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184690133 | Manuel A. Rivera | Emergency Medicine | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2006-02-28 |
| 1902423320 | Erin Christine Paschke | Physical Therapist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2020-07-01 |
| 1255842498 | Emily Heimerl | Occupational Therapy Assistant | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2017-10-16 |
| 1952850497 | Ann E Farber | Nurse Practitioner | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-09-26 |
| 1477007888 | Amy Hagen | Specialist/Technologist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-08-15 |
| 1386090512 | Nathan Wallenfang | Nurse Practitioner | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-05-06 |
| 1962875385 | Allison Pierce | Specialist/Technologist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-11-06 |
| 1982075420 | Koua Lor | Occupational Therapist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-10-09 |
| 1447620042 | Kelly A. Litersky | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-09-25 |
| 1770951600 | Virginia Matthews | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
| 1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
| 1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
| 1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
| 1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
| 1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
| 1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
| 1912426925 | Amy C Nowak | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2017-09-12 |
| Find all providers in zip 54241 | ||||
| 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 |
|---|---|---|---|---|
| 1447620042 | Kelly A. Litersky | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-09-25 |
| 1770951600 | Virginia Matthews | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-09-09 |
| 1346370657 | Maureen A Mahlik Puls | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
| 1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| 1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | TWO RIVERS |
| Zip Code | 54241 |
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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.