JEARLS NUTRITION, LLC (NPI# 1821647330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821647330 |
| Entity Type | Organization |
| Organization Name | JEARLS NUTRITION, LLC |
| Practice Address |
2602 Franklin Rd Sw Roanoke VA 24014-1010 |
| Mailing Address |
6211 Buckland Mill Rd Roanoke VA 24019-6709 |
| Practice Telephone | 5407983108 |
| Mailing Telephone | 5407983108 |
| Mailing Fax Number | 5403623766 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | KRISTIE JEARLS (OWNER) |
| Authorized Official Telephone | 5407983108 |
| 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 |
| Other Name | Type Code |
|---|---|
| Jearls Nutrition, LLC | Doing Business As Name - Organization |
| Street Address |
2602 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485635 | Stephen Laurence Hill | Surgery | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2005-05-24 |
| 1083237432 | Walter Curtis Hodges Jr. | Registered Nurse | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2020-05-20 |
| 1033779814 | Kristie Jearls | Dietitian, Registered | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2019-06-14 |
| 1881148732 | Jessica M Saunders | Nurse Practitioner | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2016-08-09 |
| 1871988386 | Dennis Hu | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2015-04-01 |
| 1750526075 | Rebecca D Hughes | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2008-12-16 |
| 1073762829 | Robin Hurt Wright | Family Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2008-09-17 |
| 1518151620 | Abdelaziz Ali Elsanjak | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2007-08-31 |
| 1053436923 | Rebin Thomas Titus | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014 | 2007-03-20 |
| 1912054719 | Susan Fowler Guelich | Pediatrics | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| 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 |
|---|---|---|---|---|
| 1356831234 | Mary Clifford Brewer | Dietitian, Registered | 6451 Cotton Hill Rd, Roanoke, VA 24018-6911 | 2018-05-16 |
| 1841727989 | Kelsie Lewis | Dietitian, Registered | 14953 Seventeen Lakes Blvd, Roanoke, TX 76262-3732 | 2017-05-19 |
| 1679013965 | Jessica Dunham | Dietitian, Registered | 3640 Bushdale Rd, Roanoke, VA 24014-6014 | 2017-03-06 |
| 1073864393 | Lakshmi Mahan | Dietitian, Registered | 2125 Yellow Mountain Rd Se Apt 104, Roanoke, VA 24014-2422 | 2012-09-26 |
| 1639325558 | Brenda Kay Lucas | Dietitian, Registered | 3721 Autumn Dr, Roanoke, VA 24012-6457 | 2008-08-12 |
| 1023203262 | Stephanie M Murray | Dietitian, Registered | Bellview At Jefferson Street, Crmh Third Floor South, Roanoke, VA 24014 | 2007-09-11 |
| 1093824906 | The Nutrition Resource, Inc. | Dietitian, Registered | 1910 Electric Rd, Roanoke, VA 24018-1621 | 2006-08-30 |
| 1801825534 | Real Life Nutrition, Inc. | Dietitian, Registered | 1030 S Jefferson St Ste 200, Roanoke, VA 24016-4418 | 2006-07-03 |
| 1801863782 | Donald E. Mankie | Dietitian, Registered | 4633 Brambleton Ave, Suite 101, Roanoke, VA 24018-3410 | 2006-03-01 |
| 1033779814 | Kristie Jearls | Dietitian, Registered | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2019-06-14 |
| Find all providers in ROANOKE | ||||
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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.