RD, CDE Tammy Jeanne Davison, NPI 1912182130
Registered Dietitian in Kingman, AZ, UM

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1912182130
NPI Entity Type Individual
Provider Name RD, CDE Tammy Jeanne Davison
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2535 Hualapai Mtn Rd, Ste C, Kingman, AZ, UM
Provider Mailing Address 4099 Gemstone Ave, Kingman, AZ, US, 864017385
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

133V00000X

Taxonomy Name Registered Dietitian
Classification

Dietitian, Registered

Group

Dietary & Nutritional Service Providers

License No. 875166
License State AZ
Description A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Other Name

Tammy Jeanne Clark
Former Name

Business Address

RD, CDE Tammy Jeanne Davison
2535 Hualapai Mtn Rd
Ste C

Kingman, AZ, UM

Phone: 928-415-0446
Fax: 928-692-1323

Mailing Address

RD, CDE Tammy Jeanne Davison
4099 Gemstone Ave
Kingman, AZ, US
ZIP 864017385
Phone: 928-530-5430

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
Z168265 AZ MEDICARE 01
311096 AZ MEDICAID 05

Other Providers in AZ, UM

NPI Name Taxonomy Address

1710420286

Acadia Healthcare Inc

Organization

Family Nurse Practitioner

2699 E Andy Devine

Suite B

Kingman, AZ

1740449925

DR. DO Jessica Aren Watkins

Individual

Pediatrics Physician

7734 N. 59th Ave

Glendale, AZ

1578630513

MRS. NP Angela M Lamis-giannotti

Individual

Family Nurse Practitioner

1919 E Thomas Rd

Bldg B 1st Floor

Phoenix, AZ

1912182130

RD, CDE Tammy Jeanne Davison

Individual

Registered Dietitian

2535 Hualapai Mtn Rd

Ste C

Kingman, AZ

1467694901

L.M.T. Kim Suzanne Plawchan

Individual

Specialist

522 E. Sheldon St

Prescott, AZ

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