ELIZABETH DOUGLASS (NPI# 1972952638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972952638 |
Entity Type | Individual |
Full Name | ELIZABETH DOUGLASS |
Practice Address |
210 N Main St London OH 43140-1115 |
Practice Telephone | 7408457094 |
Enumeration Date | 2016-06-03 |
Last Update Date | 2016-06-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710188321 | Elizabeth Jones Douglass | Social Worker | 77 West Port Plaza Drive, Suite 360, St. Louis, MO 63146 | 2007-05-30 |
1073675401 | Elizabeth Tate Douglass | Internal Medicine | 313 E 12th St Ste 102, Austin, TX 78701-1955 | 2006-12-14 |
1598901290 | Elizabeth Ann Douglass | Specialist | 6385 Presidential Ct, Suite 102, Fort Myers, FL 33919-3547 | 2008-12-30 |
1467580902 | Elizabeth Douglass | Marriage & Family Therapist | 8421 Auburn Blvd Ste 3, Citrus Heights, CA 95610-0391 | 2007-02-28 |
Street Address |
210 N MAIN ST |
City | LONDON |
State | OH |
Zip Code | 43140-1115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124641022 | Buckeye Anesthesia Associates | Anesthesiology | 210 N Main St, London, OH 43140-1115 | 2020-05-26 |
1558834861 | Garrett Davidson | Dietitian, Registered | 210 N Main St, London, OH 43140-1115 | 2019-01-09 |
1639693484 | Heather M Huxley | Registered Nurse | 210 N Main St, London, OH 43140-1115 | 2017-08-02 |
1013362623 | Madison County Community Hospital | Clinical Medical Laboratory | 210 N Main St, London, OH 43140-1115 | 2016-05-02 |
1013374479 | Rachel Fraser | Physician Assistant | 210 N Main St, London, OH 43140-1115 | 2016-01-15 |
1225402696 | Amy Shelton Umbel | Physician Assistant | 210 N Main St, London, OH 43140 | 2015-11-22 |
1275904708 | Erica Barbari | Nurse Practitioner | 210 N Main St, London, OH 43140-1115 | 2015-10-09 |
1063803013 | Krystal Nicole Foley | Physician Assistant | 210 N Main St, London, OH 43140-1115 | 2015-02-12 |
1407298433 | Deadra C Payne | Registered Nurse | 210 N Main St, London, OH 43140-1115 | 2013-07-18 |
1043651151 | Andrew A Hitt | Social Worker | 210 N Main St, London, OH 43140-1115 | 2013-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124588421 | Jennifer Howard | Counselor | 1851 Oh-56, London, OH 43140 | 2019-03-22 |
1497251896 | Jessica Nicole Ward | Registered Nurse | 371 Lafayette Street, London, OH 43140 | 2018-04-04 |
1356738439 | Kimberly Irene Kohli | Psychologist | 1580 State Route 56, Madison Correctional Institution, London, OH 43140 | 2015-04-16 |
1033502463 | Misty Fowler | Licensed Practical Nurse | 3775 Us Highway 40 Sw, London, OH 43140 | 2015-03-10 |
1295145266 | Sophie Hall | Licensed Practical Nurse | 2820 Old National Road, London, OH 43140 | 2014-04-30 |
1891119509 | London City Schools | Early Intervention Provider Agency | 380 Elm Street, London, OH 43140 | 2014-02-17 |
1588087654 | Dona Langdon | Dental Hygienist | 1580 State Roure 56, London, OH 43140 | 2014-01-27 |
1073818670 | David Allen Fairchild | Pharmacist | 238 Lafayette Street, K Mart Pharmacy 7547, London, OH 43140 | 2011-01-13 |
1275771958 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1355 St. Rt. 38 Se, London, OH 43140 | 2009-02-03 |
1225250756 | John C Starr | Hospice Care, Community Based | 62 S Oak St, London, OH 43140 | 2007-05-03 |
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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 |
---|---|---|---|---|
1063550911 | Lynnett L Renner | Dietitian, Registered | 525 Whitley St, London, KY 40741 | 2007-02-02 |
1811546047 | Alisha Hail | Dietitian, Registered | 1001 Saint Joseph Ln, London, KY 40741-8345 | 2019-09-10 |
1558834861 | Garrett Davidson | Dietitian, Registered | 210 N Main St, London, OH 43140-1115 | 2019-01-09 |
1497230296 | Sarah Beth Lefler | Dietitian, Registered | 1001 Saint Joseph Ln, London, KY 40741-8345 | 2018-09-27 |
1134571961 | Emily Tuggle | Dietitian, Registered | 1001 Saint Joseph Ln, London, KY 40741-8345 | 2016-07-05 |
1740685064 | Melinda Hinkle | Dietitian, Registered | 1001 Saint Joseph Ln, London, KY 40741-8345 | 2014-10-29 |
1922449610 | Jeffrey Thomas Gilis | Dietitian, Registered | 210 N Main St, London, OH 43140-1115 | 2013-07-10 |
1477749489 | Darren W Renz | Dietitian, Registered | 210 N Main St, London, OH 43140-1115 | 2007-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204053 | Alexandria Marie Marshall | Dietitian, Registered | 7149 Walton Rd, Walton Hills, OH 44146-4358 | 2020-10-28 |
1750988093 | Marisa Seitz | Dietitian, Registered | 927 White Horse Trl, Hinckley, OH 44233-9326 | 2020-10-08 |
1760089411 | Staci Cortelezzi | Dietitian, Registered | 2322 E 22nd St Ste 207, Cleveland, OH 44115-3100 | 2020-10-06 |
1033716931 | Danielle Smenda | Dietitian, Registered | 13981 Oakbrook Dr Apt 311, North Royalton, OH 44133-4650 | 2020-10-04 |
1093312167 | Jessica Brand | Dietitian, Registered | 7188 Tumblebrook Dr, New Albany, OH 43054-8891 | 2020-10-02 |
1124625363 | Morgan Alyssa Yoder | Dietitian, Registered | 6906 County Road 624, Millersburg, OH 44654-8393 | 2020-10-01 |
1801403118 | Alec Moore | Dietitian, Registered | 2813 Robertson Ave, Cincinnati, OH 45209-1213 | 2020-09-30 |
1841807518 | Sydney Elizabeth Anderson | Dietitian, Registered | 1018 Glen Dr Ne, New Philadelphia, OH 44663-2784 | 2020-09-28 |
1669089264 | Danielle Musgrave | Dietitian, Registered | 654 Meadowood Dr, Mayfield, OH 44143-2306 | 2020-09-28 |
1841807575 | Bridget A Brown | Dietitian, Registered | 1256 Edsal Dr, Lyndhurst, OH 44124-2363 | 2020-09-27 |
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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.