PATRICIA JOAN LIESEN (NPI# 1972010783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972010783 |
| Entity Type | Individual |
| Full Name | PATRICIA JOAN LIESEN |
| Practice Address |
1320 W Main St Newark OH 43055-1822 |
| Practice Telephone | 2205644912 |
| Practice Fax Number | 2205644919 |
| Mailing Telephone | 2205644912 |
| Mailing Fax Number | 2205644919 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD6788 | OH | Dietary & Nutritional Service Providers |
| Street Address |
1320 W MAIN ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076898 | Jeff Bare | Emergency Medicine | 1320 W Main St, Newark, OH 43055-1822 | 2005-07-12 |
| 1538767116 | Amanda Kay Codlin | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2020-10-15 |
| 1053928101 | Andrea Sims | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2020-09-23 |
| 1376155630 | Jeanette Carpenter | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2020-08-18 |
| 1912521451 | Courtney Marie Adams | Nurse Anesthetist, Certified Registered | 1320 W Main St, Newark, OH 43055-1822 | 2020-06-01 |
| 1770105603 | Jason Sturgeon | Clinic/Center | 1320 W Main St, Newark, OH 43055-1822 | 2020-05-14 |
| 1376195248 | Rahel Gebeyehu Mitiku | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2019-07-11 |
| 1720544232 | Corey Salyer | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2019-02-20 |
| 1851860589 | Tabitha Gartner | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2018-11-26 |
| 1659886000 | Sandra K Gienger | Registered Nurse | 1320 W Main St, Newark, OH 43055-1822 | 2017-12-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
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| 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 |
|---|---|---|---|---|
| 1124659032 | Catherine A Vroome | Dietitian, Registered | 351 George Williams Way, Newark, DE 19702-3518 | 2020-01-29 |
| 1043853310 | Deborah E Smith | Dietitian, Registered | 16 Lamatan Rd, Newark, DE 19711-2316 | 2019-10-19 |
| 1801360227 | Kara Feeney | Dietitian, Registered | 1109 Valley Stream Dr, Newark, DE 19702-2915 | 2019-01-18 |
| 1891298618 | The Brazilian Dietitian, LLC | Dietitian, Registered | 361 Lafayette St, Newark, NJ 07105-2723 | 2018-03-18 |
| 1669994208 | Natalie Mckenney | Dietitian, Registered | 917 Nottingham Rd, Newark, DE 19711-7410 | 2017-07-15 |
| 1588109102 | Renee Currie | Dietitian, Registered | 132 Fairmount Ave # Level1, Newark, NJ 07103-2433 | 2017-01-05 |
| 1619294659 | Nadine Grant | Dietitian, Registered | 120 Oak St, Newark, NJ 07106-1204 | 2010-04-30 |
| 1801118328 | Kimberly L B Fisher | Dietitian, Registered | 438 Grace Ave, Newark, NY 14513 | 2010-02-25 |
| 1891930905 | St. Francis Healthcare Services | Dietitian, Registered | 537 Stanton-christiana Road, Apex Medical Center Suite 103, Newark, DE 19713-2145 | 2008-12-04 |
| 1265614911 | Mavis Camalita Faulknor | Dietitian, Registered | 78 Kenmore Ave, Newark, NJ 07106-1026 | 2007-12-04 |
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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.