Clem&thyme | |
4359 E Enon Rd, Yellow Springs, OH 45387-9708 | |
(937) 206-1131 | |
(937) 917-8048 |
Full Name | Clem&thyme |
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Type | Facility |
Speciality | Clinic/center - Health Service |
Location | 4359 E Enon Rd, Yellow Springs, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609128784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 3262 (Ohio) | Secondary |
261QH0100X | Clinic/center - Health Service | 6292 (Ohio) | Primary |
Provider Name | Leslie C Edmunds |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1225307325 PECOS PAC ID: 5395995690 Enrollment ID: I20121023000202 |
Provider Name | Jenna M Righter |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1346694791 PECOS PAC ID: 6507128071 Enrollment ID: I20180321000385 |
Provider Name | Natalia Calzada |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1508417155 PECOS PAC ID: 3173855996 Enrollment ID: I20191029001016 |
Provider Name | Samantha Burns |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861008039 PECOS PAC ID: 2567876303 Enrollment ID: I20210205001771 |
Provider Name | Emma Austing |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1134892953 PECOS PAC ID: 2163814237 Enrollment ID: I20220121002238 |
Provider Name | Jacqueline Giulivo |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1679200414 PECOS PAC ID: 9032588967 Enrollment ID: I20221215000267 |
Provider Name | Emilee Wyatt |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1972253623 PECOS PAC ID: 1153793344 Enrollment ID: I20230216002449 |
Provider Name | Samantha Bartosiewicz |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1427758440 PECOS PAC ID: 3173998101 Enrollment ID: I20230405001338 |
Provider Name | Samantha Bernhardt |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1669160982 PECOS PAC ID: 7214395904 Enrollment ID: I20230628002243 |
Provider Name | Brianna Hanson |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1205617172 PECOS PAC ID: 1153771324 Enrollment ID: I20231229002384 |
Provider Name | Madelyn Trefzger |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1124873542 PECOS PAC ID: 7911348941 Enrollment ID: I20240508002574 |
Provider Name | Julia Orloff |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831949155 PECOS PAC ID: 6709228950 Enrollment ID: I20240521000038 |
Mailing Address | Practice Location Address |
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Clem&thyme 4549 Old Mill Rd, Springfield, OH 45502-9747 Ph: (937) 206-1131 | Clem&thyme 4359 E Enon Rd, Yellow Springs, OH 45387-9708 Ph: (937) 206-1131 |