MRS. ANNE BROCK (NPI# 1922547892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922547892 |
| Entity Type | Individual |
| Full Name | MRS. ANNE BROCK |
| Credential | RDN, LD |
| Practice Address |
1906 Fairview Ave Suite 440a Caldwell ID 83605-5407 |
| Practice Telephone | 2084020636 |
| Practice Fax Number | 2084020124 |
| Mailing Telephone | 2084020636 |
| Mailing Fax Number | 2084020124 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86046804 | ID | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588732275 | Anne Lucy Brock | Family Medicine | 808 Schenck St, Shelby, NC 28150-3934 | 2006-12-01 |
| Street Address |
1906 FAIRVIEW AVE SUITE 440A |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568440295 | Lawrence Estel Banta | Psychiatry & Neurology | 1906 Fairview Ave, Suite 200, Caldwell, ID 83605-5407 | 2006-01-03 |
| 1467013920 | Stefanie Glaspell | Speech-Language Pathologist | 1906 Fairview Ave, Caldwell, ID 83605-5407 | 2019-06-25 |
| 1619482163 | Katie E Dallas | Health Educator | 1906 Fairview Ave, Caldwell, ID 83605-5407 | 2017-12-06 |
| 1144750886 | Douglas Wayne Adams | Optometrist | 1906 Fairview Ave, Caldwell, ID 83605-5407 | 2017-06-15 |
| 1407201312 | Kirsten T Lewis | Speech-Language Pathologist | 1906 Fairview Ave, Suite 330, Caldwell, ID 83605-5407 | 2016-04-28 |
| 1588066336 | Bryan Drain | Dietitian, Registered | 1906 Fairview Ave, Caldwell, ID 83605-5407 | 2014-09-24 |
| 1760744403 | Travis Reed Moulton | Family Medicine | 1906 Fairview Ave, Ste 230, Caldwell, ID 83605-5407 | 2012-06-08 |
| 1124309224 | Robert Slade Thacker | Nurse Practitioner | 1906 Fairview Ave, Ste. 230, Caldwell, ID 83605-5407 | 2011-09-01 |
| 1013148725 | Heather Hoewing | Physician Assistant | 1906 Fairview Ave, Ste 230, Caldwell, ID 83605-5407 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1346488988 | Megan Marchaterre | Dietitian, Registered | 307 Bloomfield Ave Ste 105, Caldwell, NJ 07006-5105 | 2009-02-03 |
| 1013184480 | Marisol Vazquez | Dietitian, Registered | 307 Bloomfield Ave # 105, Caldwell, NJ 07006-5105 | 2008-05-14 |
| 1922101286 | Mary Elizabeth Petrik | Dietitian, Registered | 601 S Osage, Caldwell, KS 67022-1654 | 2006-09-05 |
| 1588066336 | Bryan Drain | Dietitian, Registered | 1906 Fairview Ave, Caldwell, ID 83605-5407 | 2014-09-24 |
| 1104245091 | Mary Schwartz | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2014-04-08 |
| 1295150738 | Marisa Erickson | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2014-02-20 |
| 1306188818 | Emily Jane Geary | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-03-22 |
| 1659610202 | Aria Alma Croly | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-02-01 |
| 1407194152 | Cheryl L Jorgenson | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-01-30 |
| 1881930378 | Sanjuanita Aguilar | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-01-02 |
| Find all providers in CALDWELL | ||||
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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.