TAYLOR JORDAN TOMCZAK (NPI# 1932765054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932765054 |
| Entity Type | Individual |
| Full Name | TAYLOR JORDAN TOMCZAK |
| Credential | CD |
| Practice Address |
1905 E. Huebbe Parkway Beloit Clinic Beloit WI 53511-1842 |
| Practice Telephone | 6083645309 |
| Practice Fax Number | 6083641534 |
| Mailing Telephone | 6083645309 |
| Mailing Fax Number | 6083641534 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 3280-29 | WI | Dietary & Nutritional Service Providers |
| Street Address |
1905 E. HUEBBE PARKWAY BELOIT CLINIC |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033187216 | Vijaya Somaraju | Internal Medicine | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2006-03-14 |
| 1265847131 | Tammy J. Flanders | Nurse Practitioner | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2014-06-30 |
| 1750727012 | Nicole L Chen | Dietitian, Registered | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2013-05-14 |
| 1386906030 | Rebecca Lynn White | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | 2012-06-08 |
| 1891052817 | Leah F. Farley | Pediatrics | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2012-04-15 |
| 1306119425 | Thomas Michael Valentine | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2012-02-21 |
| 1922389022 | Nora H Rabin | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2011-09-01 |
| 1871728014 | Neel K Karne | Surgery | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2009-05-18 |
| 1326222043 | Carolyn Ann Jones | Nurse Practitioner | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2007-12-18 |
| 1083752398 | Maria M. Poplawska Goetzen | Family Medicine | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2007-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| 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 |
|---|---|---|---|---|
| 1639460561 | Amber Dawn Martin | Dietitian, Registered | 605 N Hersey Ave, Beloit, KS 67420-2320 | 2011-04-26 |
| 1558916536 | Samantha Jo Skowronski | Dietitian, Registered | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 | 2019-08-06 |
| 1609434406 | Kathryn Elizabeth Melloch | Dietitian, Registered | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-06-05 |
| 1396277844 | Ellen Mary Alice Rippl | Dietitian, Registered | 1969 W Hart Rd, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2017-04-03 |
| 1841678786 | Brianne C. Gohlke | Dietitian, Registered | 1905 E Huebbe Pkwy, Beloit Health System Inc., Beloit, WI 53511-1842 | 2015-05-12 |
| 1750727012 | Nicole L Chen | Dietitian, Registered | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2013-05-14 |
| 1205272564 | Lauren Lee Moore | Dietitian, Registered | 1905 E Huebbe Pkwy, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2013-05-14 |
| 1083915318 | Karlie Grace Wellnitz | Dietitian, Registered | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2010-11-03 |
| 1285886549 | Victoria Flask | Dietitian, Registered | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
| 1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| 1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
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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.