DR. RANDI M BOLEMAN (NPI# 1821478827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821478827 |
| Entity Type | Individual |
| Full Name | DR. RANDI M BOLEMAN |
| Credential | PHD, RD, LD, CSSD |
| Practice Address |
9555 Escondido Ln College Station TX 77845-3037 |
| Practice Telephone | 9792557673 |
| Practice Fax Number | 4157385450 |
| Mailing Telephone | 9792557673 |
| Mailing Fax Number | 4157385450 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 950484 | Dietary & Nutritional Service Providers | |
| N | 133V00000X | Dietitian, Registered | DT80230 | TX | Dietary & Nutritional Service Providers |
| Street Address |
9555 ESCONDIDO LN |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| 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 |
|---|---|---|---|---|
| 1386110013 | Sara Agold | Dietitian, Registered | 5298 Canvasback Cv, College Station, TX 77845-2450 | 2018-10-20 |
| 1285076141 | Daniel Alberto Cortez | Dietitian, Registered | 4319 Addison Ct, College Station, TX 77845-4184 | 2013-07-20 |
| 1447541735 | Carla Araceli Powell | Dietitian, Registered | 1500 Medical Ave, College Station, TX 77845 | 2011-04-21 |
| 1003427758 | Monica Shields | Dietitian, Registered | 800 Scott and White Dr, College Station, TX 77845-6440 | 2020-08-14 |
| 1932764057 | Julia Dawn Meyer | Dietitian, Registered | 800 Scott and White Dr, College Station, TX 77845-6440 | 2019-05-03 |
| 1992211155 | Shannon Lloyd | Dietitian, Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-12-22 |
| 1891245304 | Taylor Leahy | Dietitian, Registered | 800 Scott and White Dr, Rock Prairie Clinic, College Station, TX 77845-6440 | 2016-10-07 |
| 1164883252 | Patricia Domanski | Dietitian, Registered | 800 Scott and White Dr, College Station, TX 77845-6440 | 2016-03-16 |
| 1619357712 | Allison Dawn Beck | Dietitian, Registered | 800 Scott and White Dr, College Station, TX 77845-6440 | 2015-06-03 |
| 1558708305 | Karen Mynhier Beathard | Dietitian, Registered | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2013-06-03 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
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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.