MRS. EMILY KYBURZ (NPI# 1891236568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891236568 |
Entity Type | Individual |
Full Name | MRS. EMILY KYBURZ |
Credential | RDN, CD |
Practice Address |
11141 Parkview Plaza Dr Ste 305b Fort Wayne IN 46845-1713 |
Mailing Address |
3926 New Vision Dr Bldg H Fort Wayne IN 46845-1712 |
Practice Telephone | 2604256770 |
Practice Fax Number | 2604256789 |
Mailing Telephone | 2662661401 |
Mailing Fax Number | 2604585734 |
Enumeration Date | 2017-03-15 |
Last Update Date | 2017-05-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 37002467A | IN | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154618213 | Emily Jo Kyburz | Occupational Therapist | 2307 Spruce St, Boulder, CO 80302-4614 | 2011-07-08 |
Street Address |
11141 PARKVIEW PLAZA DR STE 305B |
City | FORT WAYNE |
State | IN |
Zip Code | 46845-1713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811999840 | William R Cast | Otolaryngology | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 | 2005-08-10 |
1629440193 | Sarah Weaver | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1713 | 2015-10-23 |
1730563255 | Chelsea Rentschler | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2015-07-14 |
1699171975 | Taylor Hill | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2014-11-13 |
1174926919 | Debra Brice | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2014-10-08 |
1548661184 | Beth Burns | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2014-09-15 |
1346641644 | Grant Paul Tyler | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2014-09-06 |
1417383217 | Elizabeth A Daseler | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2013-09-25 |
1689922403 | Amanda Michelle Bolin | Dietitian, Registered | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1713 | 2012-08-28 |
1811252224 | Parkview Physician's Group | Dietitian, Registered | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1713 | 2012-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
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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 |
---|---|---|---|---|
1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
1154981389 | Rebecca Paden | Dietitian, Registered | 1315 Directors Row Ste 210, Fort Wayne, IN 46808-1284 | 2019-06-19 |
1821592221 | Katherine Hake | Dietitian, Registered | 2220 Lima Plank Pkwy, Fort Wayne, IN 46818-8968 | 2018-03-20 |
1730533852 | Charlene Ann Burian | Dietitian, Registered | 3213 Twisted Branch Pl, Fort Wayne, IN 46804-3436 | 2016-04-14 |
1164880746 | Kandi Denise Dawson | Dietitian, Registered | 2520 E. Dupont Rd, Nutrition Services, Fort Wayne, IN 46825 | 2016-02-10 |
1437517083 | Julie West | Dietitian, Registered | 2520 East Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-02-10 |
1972968295 | Alison Johnson | Dietitian, Registered | 1833 Midsummer Night Cv, Fort Wayne, IN 46818-8469 | 2015-12-31 |
1053776344 | Tiane Bianski | Dietitian, Registered | 6322 Farmswood Drive Apt 1b, Fort Wayne, IN 46804 | 2015-12-31 |
1750623591 | Courtney Rinehold | Dietitian, Registered | 1607 Glacier Ridge Rd, Fort Wayne, IN 46845-9720 | 2013-03-19 |
1346541562 | Diane E Glass | Dietitian, Registered | 11141 Parkview Plaza Dr Ste 305b, Fort Wayne, IN 46845-1713 | 2010-11-04 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46845 |
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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.