JOANNA HAMRICK MEDLOCK (NPI# 1871013946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871013946 |
| Entity Type | Individual |
| Full Name | JOANNA HAMRICK MEDLOCK |
| Credential | RDN, LD |
| Practice Address |
2005 N Beltline Blvd Columbia SC 29204-3972 |
| Mailing Address |
2641 Glenwood Rd Columbia SC 29204-2650 |
| Practice Telephone | 8037824440 |
| Mailing Telephone | 7044185479 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1439 | SC | Dietary & Nutritional Service Providers |
| Street Address |
2005 N BELTLINE BLVD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-3972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497021166 | Progressive Physical Therapy, Pa | Occupational Therapist | 2005 N Beltline Blvd, Columbia, SC 29204-3972 | 2012-03-28 |
| 1467821025 | Jeffrey Hale | Dietitian, Registered | 2005 N Beltline Blvd, Columbia, SC 29204-3972 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| 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 |
|---|---|---|---|---|
| 1346857398 | Ashley Rose Fitzgerald | Dietitian, Registered | 5253 Pine Bark Ct, Columbia, MD 21045-2320 | 2020-09-24 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1295375046 | Courtney Blackmon | Dietitian, Registered | 209 Southwood Dr, Columbia, SC 29205-3221 | 2020-01-09 |
| 1093352148 | Climb Nutrition and Wellness LLC | Dietitian, Registered | 104 W 7th St Ste 7, Columbia, TN 38401-3214 | 2019-12-09 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1174184956 | Lindsay Shazly | Dietitian, Registered | 1401 Devine St, Columbia, SC 29208-3902 | 2019-06-24 |
| 1811556954 | Juliana Wishnia | Dietitian, Registered | 1401 Devine St Ofc 116f, Columbia, SC 29208-3902 | 2019-06-12 |
| 1457910580 | Olivia Jolly | Dietitian, Registered | 1409 Devine St Ofc 116d, Columbia, SC 29208-3902 | 2019-06-12 |
| 1538672191 | K Shavo Nutrition, LLC | Dietitian, Registered | 23 Peachtree Cir, Columbia, SC 29206-1135 | 2017-11-06 |
| Find all providers in COLUMBIA | ||||
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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.