MS. PEGGY MICKELSON VISIO (NPI# 1902394703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902394703 |
Entity Type | Individual |
Full Name | MS. PEGGY MICKELSON VISIO |
Credential | RD |
Practice Address |
Bdaach/549th Hc Usag Camp Humphreys, Bldg. # 3030 Apo AP 96271-0017 |
Practice Telephone | 3153731144 |
Mailing Telephone | 3153731144 |
Enumeration Date | 2018-04-26 |
Last Update Date | 2020-03-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | DT05217 | TX | Dietary & Nutritional Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
500 North Mundo Drive, Dulce, NM 87528 | 5757590039 | 5757593026 |
Street Address |
BDAACH/549TH HC USAG CAMP HUMPHREYS, BLDG. # 3030 |
City | APO |
State | AP |
Zip Code | 96271-0017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497837397 | Fernando Robles-acevedo | Military Health Care Provider | Bdaach/549th Hc, Usag Camp Humphreys, Bldg. # 3030, Apo, AP 96271 | 2006-10-19 |
1326607300 | Irene Yau | General Practice | Bdaach/549th Hc, Usag Humphreys, Apo, AP 96271 | 2019-06-12 |
1316327695 | Yoseph Kram | Otolaryngology | Bdaach/549th Hc, Usag Humphreys, Bldg. #3030, Apo, AP 96271 | 2015-06-02 |
1811314222 | Thomas Melton | Orthopaedic Surgery | Bdaach/549th Hc, Usag Camp Humphreys, Bldg. #3030, Apo, AP 96271 | 2014-03-24 |
1205260882 | Aaron Lane | Surgery | Bdaach/549th Hc, Apo, AP 96271 | 2013-08-30 |
1750615597 | Theresa Marie Lorkowski | Pediatrics | Bdaach/549th Hc, Usag Humphreys, Bldg 3030, Apo, AP 96271 | 2009-09-27 |
1407972425 | Richard K Sohn | Psychologist | Bdaach/549th Hc, Usag Humphreyes, Bldg. #3030, Apo, AP 96271 | 2007-03-21 |
1134264153 | Jessica Perkins | Registered Nurse | Bdaach/549th Hc, Usag Humphreys, Bldg. #3030 Unit #15245, Apo, AP 96271 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124686472 | Oscar Christian | Military Health Care Provider | Hospital: Wh3s9a 549 Hc/baach, Unit 15245, Apo, AP 96271 | 2019-06-02 |
1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
1003375924 | Kevin Scott Floyd | Physician Assistant | Camp Humphrey's, Apo, AP 96271 | 2019-03-19 |
1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
1932687340 | Jennifer Marie Sisson | Military Health Care Provider | 4-2 Arb, Apo, AP 96271 | 2018-07-30 |
1356852818 | Allison G White | Optometrist | Bdaach/549th Hospital Center Usag Humphreys Bldg.# 3030, Apo, AP 96271 | 2017-10-23 |
1871014902 | Charlie Kim | Dentist | Camp Humphreys, Carius Dental Clinic Bldg 3020, Apo, AP 96271 | 2017-06-28 |
1093245656 | Cindy Rosemarie Bowers | Social Worker | Bldg 370 Camp Humphreys, Wh3s9a 549 Hc/baach Unit 15245, Apo, AP 96271 | 2017-06-15 |
1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
1952836678 | David J Ahn | Student in an Organized Health Care Education/Training Program | Unit 15190 Box Pyongtaek, Apo, AP 96271 | 2017-05-01 |
Find all providers in zip 96271 |
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 |
---|---|---|---|---|
1396304846 | Danielle Sprunger | Dietitian, Registered | Unit 15375, Apo, AP 96260-5375 | 2019-06-09 |
1225519325 | Morgan Mead | Dietitian, Registered | Usaf Hospital, 77 Nealy Ave, Apo, AA 23669 | 2018-08-27 |
1528428596 | Misa Cadua | Dietitian, Registered | 374 Mdg/sghc, Unit 5071, Apo, AP 96328-5071 | 2016-03-03 |
1417337668 | Eun Dennis | Dietitian, Registered | 65th Medical Brigade, Unit #15281 Box 712, Apo, AP 96205-5281 | 2015-06-03 |
1750773800 | Denise Laursen | Dietitian, Registered | Hq Usa Meddac-korea, Unit 15281, Apo, AP 96205-0054 | 2015-02-26 |
1710221734 | Margaret Elizabeth Wilson | Dietitian, Registered | Cmr 402 Box 2130, Apo, AE 09180-0022 | 2012-11-15 |
1306128657 | Elizabeth Claire Thompson | Dietitian, Registered | Department of The Army Headquarters, Quality Management Division (credentials), Unit #15281, Apo, AP 96205-5281 | 2011-09-13 |
1588987101 | Brittany June Ray | Dietitian, Registered | Psc 79, Box 69, Apo, AE 09714-9998 | 2010-03-10 |
1013243203 | Tanya Jo Fischer | Dietitian, Registered | Cmr 482, Stuttgart Health Clinic On Patch Barracks, Apo, AE 09128 | 2009-10-23 |
1952535619 | Lora Pietszak | Dietitian, Registered | 31 Amds/sgpz, Unit 6180 Box 245, Apo, AE 09601-0245 | 2009-05-11 |
Find all providers in APO |
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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.