WANDA W TUTT (NPI# 1851656243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851656243 |
| Entity Type | Individual |
| Full Name | WANDA W TUTT |
| Credential | LRD |
| Practice Address |
333 Revolutionary Trl Fairfax SC 29827-7109 |
| Practice Telephone | 8036322533 |
| Practice Fax Number | 8036323757 |
| Mailing Telephone | 8036322533 |
| Mailing Fax Number | 8036323757 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 261 | SC | Dietary & Nutritional Service Providers |
| Street Address |
333 REVOLUTIONARY TRL |
| City | FAIRFAX |
| State | SC |
| Zip Code | 29827-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033160254 | Baxter Mclendon | Specialist | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-05-12 |
| 1649414905 | Walter R Kirby | Physician Assistant | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2009-04-29 |
| 1104979061 | Delois Daniels | Nurse Practitioner | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2007-01-22 |
| 1164516209 | Bobbie Franklin Ayers Jr. | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-10-03 |
| 1538170121 | Lucille Miley Sanders | Nurse Practitioner | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-08-10 |
| 1003820531 | Richard Boyles | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-07-28 |
| 1407878366 | Janet M Mckissick | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467843078 | We Care Family Resource LLC | Point of Service | 513 Bayshore Dr., Fairfax, SC 29827 | 2015-02-18 |
| 1154606440 | Robert M. Haberkorn Dds | Clinic/Center | 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 | 2011-10-18 |
| 1144370503 | Allendale County Hospital Board | Clinic/Center | 1787 Allendale Fairfax Highway, Fairfax, SC 29827 | 2007-01-10 |
| 1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
| 1881646669 | Shenika L. Marshall-hill | Counselor | 1594 Beaufort Ave. S., Fairfax, SC 29827 | 2006-05-17 |
| 1588623540 | Rebecca Lynn Wilkes | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2006-03-20 |
| 1497745012 | Robert M Haberkorn | Dentist | 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 | 2005-10-25 |
| 1588815021 | James Robert Mynatt | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2008-10-02 |
| 1063607646 | Mol Ky | General Practice | 333 Revolutionary Trail, Fairfax, SC 29827 | 2007-09-07 |
| 1053475566 | Low Country Health Care System, Inc | Pharmacy | 333 Revolutionary Trail, Farifax, SC 29827 | 2006-12-20 |
| Find all providers in zip 29827 | ||||
| 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 |
|---|---|---|---|---|
| 1366058612 | Karen Perez Via | Dietitian, Registered | 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033-1764 | 2020-09-22 |
| 1144786583 | Stephanie Lynn Smith | Dietitian, Registered | 4375 Fair Lakes Ct, Fairfax, VA 22033-4234 | 2019-02-11 |
| 1982176392 | Helen Chung | Dietitian, Registered | 13210 Parson Ln, Fairfax, VA 22033-3402 | 2018-12-24 |
| 1184172587 | Marian Devereaux | Dietitian, Registered | 251 Oak Manor Dr, Fairfax, CA 94930-1014 | 2016-09-14 |
| 1295141497 | Kim Monroe | Dietitian, Registered | 13205 Ashvale Dr, Fairfax, VA 22033-1103 | 2014-07-08 |
| 1043583719 | Katherine Kielich | Dietitian, Registered | 51 Belle Ave, Fairfax, CA 94930-1725 | 2012-02-10 |
| 1023325073 | Jung-oak Joanne Choe | Dietitian, Registered | 9340 Tovito Dr, Fairfax, VA 22031-3825 | 2010-09-10 |
| 1366632630 | Cheryl Iny Harris | Dietitian, Registered | 9675 Main St, Ste A, Fairfax, VA 22031-3762 | 2007-08-01 |
| 1144828484 | Laura Royfe | Dietitian, Registered | 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033-1764 | 2020-10-09 |
| 1235748823 | Hannah Nicolais | Dietitian, Registered | 3023 Hamaker Ct Ste 600, Fairfax, VA 22031-2241 | 2020-07-29 |
| Find all providers in FAIRFAX | ||||
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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.