JESSICA BYRD WHITE LLC (NPI# 1891332904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891332904 |
| Entity Type | Organization |
| Organization Name | JESSICA BYRD WHITE LLC |
| Practice Address |
3113 Wesley Way Ste 2 Dothan AL 36305-2004 |
| Mailing Address |
407 Forsythia Ln Dothan AL 36305-5904 |
| Practice Telephone | 3342458810 |
| Mailing Telephone | 3347910314 |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | JESSICA BYRD WHITE (OWNER) |
| Authorized Official Telephone | 3347910314 |
| Authorized Official Credential | RDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1676 Montgomery Hwy, Dothan, AL 363033344 | 3347910314 | |
| 407 Forsythia Ln, Dothan, AL 363055904 | 3347910314 |
| Street Address |
3113 WESLEY WAY STE 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| 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 |
|---|---|---|---|---|
| 1154978617 | Jennifer Thompson | Dietitian, Registered | 1600 Whatley Drive, Suite 2, Dothan, AL 36303-1986 | 2019-08-20 |
| 1225576648 | Hope Boyd | Dietitian, Registered | 120 Royale Orleans Ct, Dothan, AL 36305-1172 | 2017-02-06 |
| 1578955449 | Jessica Byrd White | Dietitian, Registered | 407 Forsythia Ln, Dothan, AL 36305-5904 | 2015-03-02 |
| 1770908451 | Jaime Sharp | Dietitian, Registered | 104 Yaupon Ct, Dothan, AL 36301-7273 | 2014-03-04 |
| 1932358157 | Micheal Anthony Spann | Dietitian, Registered | 305 Woodleigh Rd, Dothan, AL 36305-1036 | 2008-09-11 |
| 1467067868 | Nourish Nutrition Therapy, LLC | Dietitian, Registered | 1600 Whatley Drive, Suite 2, Dothan, AL 36303 | 2020-09-11 |
| 1255981908 | Jessica Pastino | Dietitian, Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2019-09-15 |
| 1609359926 | Amber Salmon | Dietitian, Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3024 | 2018-09-12 |
| 1780018044 | Molly Hand | Dietitian, Registered | 1108 Ross Clark Cir, Dothan, AL 36301 | 2013-08-22 |
| 1811267636 | Alaina Arnold Sowell | Dietitian, Registered | 4126 W Main St, Dothan, AL 36305-9310 | 2012-01-10 |
| Find all providers in DOTHAN | ||||
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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.