TAMMY SHADWICK (NPI# 1992110225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992110225 |
| Entity Type | Individual |
| Full Name | TAMMY SHADWICK |
| Credential | PHD |
| Practice Address |
2701 Davis St Meridian MS 39301-5708 |
| Practice Telephone | 6016930118 |
| Mailing Telephone | 6016930118 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D0536 | MS | Dietary & Nutritional Service Providers |
| Street Address |
2701 DAVIS ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427036615 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2701 Davis St, Meridian, MS 39301-5708 | 2006-01-06 |
| 1164038444 | Jalisha Brown | Nurse Practitioner | 2701 Davis St, Meridian, MS 39301-5708 | 2020-09-22 |
| 1417517830 | Tiffany Alyssa Roulier | Nurse Practitioner | 2701 Davis St, Meridian, MS 39301 | 2019-06-18 |
| 1215437058 | Rekita Dechelle Mccoy | Family Medicine | 2701 Davis St, Meridian, MS 39301-5708 | 2018-02-19 |
| 1538682307 | Anna Morton Epley | Dentist | 2701 Davis St, Meridian, MS 39301-5708 | 2017-07-24 |
| 1265982417 | Kelvin Knowles | Nurse Practitioner | 2701 Davis St, Meridian, MS 39301-5708 | 2016-10-12 |
| 1639540958 | Tekira Hypolite | Dentist | 2701 Davis St, Meridian, MS 39301-5708 | 2015-10-13 |
| 1104243831 | Tanyaneka Wilson | Nurse Practitioner | 2701 Davis St, Meridian, MS 39301-5708 | 2014-03-19 |
| 1477829315 | Ernest Addo Donkor | Pediatrics | 2701 Davis St, Meridian, MS 39301-5708 | 2012-03-26 |
| 1497047971 | Kimkeshia Neshell Morgan | Nurse Practitioner | 2701 Davis St, Meridian, MS 39301-5708 | 2011-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1992310148 | Ellie Rock | Dietitian, Registered | 5424 N Sun Shimmer Ave, Meridian, ID 83646-5536 | 2020-09-14 |
| 1063035004 | Chrisann M Hinson | Dietitian, Registered | 4716 W Quaker Ridge Dr, Meridian, ID 83646-5042 | 2020-05-26 |
| 1609497551 | Aaron Robert Calvano | Dietitian, Registered | 5350 N Moose Creek Ave, Meridian, ID 83646-3639 | 2020-05-01 |
| 1154966547 | Gabrielle Boobar | Dietitian, Registered | 1303 E Central Dr, Meridian, ID 83642-7991 | 2019-11-09 |
| 1326530932 | Linda Kees | Dietitian, Registered | 520 S Eagle Rd Ste 1223, Meridian, ID 83642-6355 | 2018-05-31 |
| 1457868531 | Rachel Myers | Dietitian, Registered | 520 S Eagle Rd Ste 1229, Meridian, ID 83642-6355 | 2018-01-10 |
| 1366951261 | Kelsea Hopkins | Dietitian, Registered | 868 E Ringneck St, Meridian, ID 83646-4498 | 2017-09-22 |
| 1104352194 | Caylee Ketchum | Dietitian, Registered | 1098 E Winslow St, Meridian, ID 83642-4050 | 2017-05-11 |
| 1225562002 | Callie Miller | Dietitian, Registered | 934 N Stonehenge Way, Meridian, ID 83642-4000 | 2017-04-18 |
| 1205284213 | Andrea L Bailey | Dietitian, Registered | 5710 W Mattawa Dr, Meridian, ID 83646-7428 | 2016-05-31 |
| Find all providers in MERIDIAN | ||||
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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.