JODI LYNN KEITHLEY (NPI# 1952806069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952806069 |
| Entity Type | Individual |
| Full Name | JODI LYNN KEITHLEY |
| Credential | RD, LD |
| Practice Address |
6900 Alden Dr Fe Warren Afb WY 82005-3906 |
| Practice Telephone | 3077734292 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 197 | WY | Dietary & Nutritional Service Providers |
| Street Address |
6900 ALDEN DR |
| City | FE WARREN AFB |
| State | WY |
| Zip Code | 82005-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990863 | Vivian Colette Tran | Pharmacist | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2020-01-02 |
| 1275096737 | Richard K Newman | Student in an Organized Health Care Education/Training Program | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2019-04-11 |
| 1437675949 | Thomas Charles Ingersoll Jr. | Physician Assistant | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2017-08-16 |
| 1730619446 | Lauren Joann Redlinger | Family Medicine | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2017-06-14 |
| 1427421312 | Rebecca Dawn Ishola | Registered Nurse | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2015-11-02 |
| 1679953640 | Mary Frances Macleod | Pediatrics | 6900 Alden Dr, Fe Warren Afb, WY 82005 | 2015-06-04 |
| 1497144612 | Kelly Smerling | Nurse Practitioner | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2015-01-12 |
| 1578979688 | 90th Medical Group-united States Air Force | Military/U.S. Coast Guard Pharmacy | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2014-07-09 |
| 1407289069 | James Henry Barry Jr. | Pediatrics | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2013-08-18 |
| 1801183579 | Ryan Patrick Voth | Psychiatry & Neurology | 6900 Alden Dr, Attn: 90 Mdos/sgoz Flight Med, Fe Warren Afb, WY 82005-3906 | 2011-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250597 | Brittany Corrin Souder | Military Health Care Provider | 1600 Aldene Drive, Fe Warren Afb, WY 82005 | 2020-06-23 |
| 1093368110 | Aaron Michael Keating | Student in an Organized Health Care Education/Training Program | Mental Health Clinic, 90th Omrs, Fe Warren Clinic, Fe Warren Afb, WY 82005 | 2019-07-17 |
| 1477643823 | Paul Hoon Kim | Dentist | 90 Mdos, 6900 Alden Dr, F.e. Warren Afb, WY 82005 | 2006-10-14 |
| 1568495315 | Joseph Myles Simpson, Jr. | Dentist | F E Warren Air Force Base Dental Clinic, 6900 Alden Drive, Cheyenne, WY 82005 | 2006-07-07 |
| 1306864632 | Lisa Sung Eun Lee | Pharmacist | 6900 Alden Drive, Fe Warren Afb, WY 82005 | 2006-07-17 |
| 1992957252 | Perala Enterprises, LLC | Eyewear Supplier (Equipment, not the service) | 6207 Missile Dr, Building 722, Ft Warren Afb, WY 82005-2407 | 2008-10-17 |
| 1972157808 | James Turvy | Dentist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-2945 | 2019-07-29 |
| 1245478676 | Denise E Campbell | Nutritionist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2009-01-22 |
| 1255837332 | Robert Usher Wright Jr. | General Practice | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2018-04-05 |
| 1396018982 | Ryan Christopher Reynolds | Pharmacist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2012-02-14 |
| Find all providers in zip 82005 | ||||
| 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 |
|---|---|---|---|---|
| 1982228193 | Suzanne Mae Bowser | Dietitian, Registered | 973 Lane 38, Burlington, WY 82411-9700 | 2020-06-03 |
| 1760039457 | Lauren Michelle Gibbs | Dietitian, Registered | 2304 Pioneer Ave, Cheyenne, WY 82001-3612 | 2019-08-19 |
| 1659840403 | Hannah Lee Tripp | Dietitian, Registered | 1440 N West St., Wilson, WY 83014 | 2018-11-21 |
| 1831690841 | Tenika Leigh Eardley | Dietitian, Registered | 1351 N 8th St, Greybull, WY 82426-1504 | 2018-02-24 |
| 1497268650 | Candace Garner | Dietitian, Registered | 603 Riverside St, Sheridan, WY 82801-6120 | 2017-11-09 |
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1730613209 | Linda M Cardinal | Dietitian, Registered | 1001 Canyon View Ave, Apt 1, Cody, WY 82414-3095 | 2017-04-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1033661525 | Christina M Crowder Anderson | Dietitian, Registered | 1321 Concerto Ln, Cheyenne, WY 82007-3697 | 2016-10-31 |
| 1770936536 | Meagan Day | Dietitian, Registered | 611 E Carlson St Ste 117, Cheyenne, WY 82009-4335 | 2016-07-18 |
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| City | FE WARREN AFB |
| Zip Code | 82005 |
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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.