LIBBY ANN DOMINIK (NPI# 1952957045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952957045 |
| Entity Type | Individual |
| Full Name | LIBBY ANN DOMINIK |
| Credential | R.D. |
| Practice Address |
4386 Cappeln Osage Rd Augusta MO 63332-1118 |
| Practice Telephone | 6364597273 |
| Mailing Telephone | 6364597273 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 850733 | MO | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 509 W 18th St, Hermann, MO 65041 | 5734862191 |
| Street Address |
4386 CAPPELN OSAGE RD |
| City | AUGUSTA |
| State | MO |
| Zip Code | 63332-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154481448 | Focused Wound Care Associates LLC | Nurse Practitioner | 263 Clay St, Augusta, MO 63332-1018 | 2006-12-09 |
| 1306173653 | Robert Charles Dunn Jr. | Neurological Surgery | 390 Moll Rd, Augusta, MO 63332-1228 | 2009-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962233 | Hopeful Homes, LLC. | Foster Care Agency | 200 Pleasant Home Rd, Augusta, GA 30907-3520 | 2020-11-08 |
| 1598366536 | Traci Heater | Technician | 141 Berry Dr, Augusta, WV 26704 | 2020-11-05 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1427658137 | Jolinda Sirk | Technician | 316 Richmond Road, Augusta, WV 26704-2670 | 2020-10-30 |
| 1821698879 | Jeannie Marie Voit | Technician | 263 Voits Rd, Augusta, WV 26704-7263 | 2020-10-29 |
| 1164022299 | Pamela Smoot | Technician | 500 Aa Rogers Rd, Augusta, WV 26704-4046 | 2020-10-28 |
| 1730789009 | Julie Kay Bommarito | Technician | 730 Laverne Dr, Augusta, WV 26704-8330 | 2020-10-27 |
| 1790385003 | William Battle Evans | Psychologist | 1608 Woodhill Trl, Augusta, GA 30909-2664 | 2020-10-27 |
| 1386243707 | Deonta Banks | Technician | 95 N River Rd, Augusta, WV 26704-4508 | 2020-10-19 |
| 1659970929 | Savannah Fox | Technician | 296 Labella Dr, Augusta, WV 26704-8159 | 2020-10-19 |
| Find all providers in AUGUSTA | ||||
| 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 |
|---|---|---|---|---|
| 1902403454 | Jacqueline Robilliard Rd Cde LLC Nutrition Care Center | Dietitian, Registered | 219 Cony Rd, Augusta, ME 04330-0502 | 2020-10-07 |
| 1407463888 | Ria Kathleen Saunders | Dietitian, Registered | 219 Cony Rd # 1, Augusta, ME 04330-0502 | 2020-09-29 |
| 1720556590 | Amber Rose Fentress | Dietitian, Registered | 1465 Laney Walker Blvd # 1040, Augusta, GA 30912-0002 | 2018-11-09 |
| 1508362674 | Katelyn Metz | Dietitian, Registered | 1447 Harper St, Augusta, GA 30912-0020 | 2018-04-05 |
| 1437655669 | Sarah Tankersley | Dietitian, Registered | 1120 15th St # Ba-1565, Augusta, GA 30912-0004 | 2018-04-05 |
| 1295274199 | Kimberly A Beavers | Dietitian, Registered | 3154 Perimeter Pkwy, Suite 2, Augusta, GA 30909-4804 | 2017-02-13 |
| 1821449240 | Christopher Rashun Nesbitt | Dietitian, Registered | 2772 Huntcliffe Dr, Augusta, GA 30909-0661 | 2016-06-27 |
| 1972969475 | Nellie Rovansek | Dietitian, Registered | 2219 Dartmouth Rd, Augusta, GA 30904-3429 | 2016-01-13 |
| 1538419007 | Johanna M Whisenhunt | Dietitian, Registered | 1408 Leigh Court, Augusta, GA 30909-6738 | 2012-09-12 |
| 1417260407 | Telenutrition Therapy Inc | Dietitian, Registered | 810 Camellia Rd, Augusta, GA 30909-2734 | 2010-07-19 |
| Find all providers in AUGUSTA | ||||
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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.