JACI LYNN WOODS


Address: 500 Porter Ave, Aurora, MO 65605-2365
Phone: 4176787980

JACI LYNN WOODS (NPI# 1871117697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871117697
Entity Type Individual
Full Name JACI LYNN WOODS
Credential RD, LD
Practice Address 500 Porter Ave
Aurora
MO 65605-2365
Practice Telephone 4176787980
Mailing Telephone 4176787980
Enumeration Date 2020-06-08
Last Update Date 2020-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 2020009259 MO Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 W Us Highway 60, Mountain View, MO 655488542 4179347000
214 Carter St, Berryville, AR 726164303 8704233355
94 Main St, Cassville, MO 656251610 4178476019

Office Location

Street Address 500 PORTER AVE
City AURORA
State MO
Zip Code 65605-2365

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487610143 St Johns of Aurora Hospital Anesthesiology 500 Porter Ave, Aurora, MO 65605-2365 2006-04-21
1780282863 Jared Allen Pendergrass Physician Assistant 500 Porter Ave, Aurora, MO 65605-2365 2020-10-12
1548709256 Amber Johnson Physician Assistant 500 Porter Ave, Aurora, MO 65605-2365 2017-02-14
1477913853 Travis James Bell Physician Assistant 500 Porter Ave, Aurora, MO 65605-2365 2016-02-29
1215313598 Danielle C Schweke Nurse Practitioner 500 Porter Ave, Aurora, MO 65605-2365 2015-08-10
1093130098 Tiffany Hilton Physician Assistant 500 Porter Ave, Aurora, MO 65605-2365 2014-02-27
1083055453 Olumide Ololade Adewumi Family Medicine 500 Porter Ave, Aurora, MO 65605-2365 2013-07-12
1760783518 Judy Loraine Carver Dietitian, Registered 500 Porter Ave, Aurora, MO 65605-2365 2010-11-10
1154599900 Danny Lee Garton Nurse Practitioner 500 Porter Ave, Aurora, MO 65605-2365 2008-02-14
1891970901 John D. Blackburn Physical Therapist 500 Porter Ave, Aurora, MO 65605-2365 2008-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265030845 Rhonda Kay Newton Massage Therapist 22768 Mo-39 Suite B, Aurora, MO 65605 2020-10-15
1134609712 Regional Services Nurse Practitioner 305 W Prospect St, Aurora, MO 65605 2018-08-14
1932545977 Ozark Tri-county Health Care Consortium Clinic/Center 1810 South Carnation Dr., Aurora, MO 65605 2013-05-17
1376884353 Mercy Hospital Springfield Durable Medical Equipment & Medical Supplies 729 Highland Street, Aurora, MO 65605 2013-03-15
1518241587 Holly Lynn Wade Counselor 1119 S Elliot, Aurora, MO 65605 2011-10-07
1760785265 Mercy Hospital Springfield Durable Medical Equipment & Medical Supplies 721 E Highland Street, Aurora, MO 65605 2010-12-06
1740488147 Marilyn Ruth Wachner Social Worker 1604 1 2 S Elliott, Aurora, MO 65605 2007-07-06
1942372248 Patricia Ann Clark Counselor 112 S. Madison, Aurora, MO 65605 2006-11-14
1003994732 Darren Gene Cook Counselor Lifecare Family Services, 112 S. Madison, Aurora, MO 65605 2006-11-01
1760517304 Jeanette M Kristek Speech-Language Pathologist 409 W Locust St, Aurora Reorganized School Dist R-8, Aurora, MO 65605-1422 2007-02-23
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346859634 Michela Palma Dietitian, Registered 245 Chadwick Dr, Aurora, OH 44202-6632 2020-07-23
1679198675 Jessica Hlosek Dietitian, Registered 440 Regal Oaks Cir, Aurora, OH 44202-6658 2020-06-15
1750902144 Tonya Zwaagstra Jenkins Dietitian, Registered 1775 Aurora Ct Rm 1202, Aurora, CO 80045-2536 2020-04-27
1487121737 Amanda Foote Dietitian, Registered 3551 Chambers Rd Ste Ad, Aurora, CO 80011-1330 2018-10-25
1639670516 Taylor Lile Dietitian, Registered 605 W Aurora Vista Trl, Aurora, TX 76078-4647 2018-02-26
1548788219 Lisa Chan Dietitian, Registered 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 2017-09-01
1235659160 Kathryn Bloxsom Dietitian, Registered 2728 S Newark Ct, Aurora, CO 80014-3034 2017-06-21
1528598844 Liz Daenick Dietitian, Registered 4232 S Fundy Way, Aurora, CO 80013-4528 2017-06-19
1023550597 Jaime Kembel Dietitian, Registered 979 Creek View Dr, Aurora, OH 44202-7102 2016-11-15
1316499759 Katherine Watts Dietitian, Registered 2269 Halsted Ln, Aurora, IL 60503-7616 2016-11-02
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Competitor

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City AURORA
Zip Code 65605

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Dataset Information

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.

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