Emily Nicole Henry, RDN, LD | |
97 Eichner Ave, Ketchikan, AK 99901-9033 | |
(907) 821-1340 | |
Not Available |
Full Name | Emily Nicole Henry |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 97 Eichner Ave, Ketchikan, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730658493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 140329 (Alaska) | Primary |
Provider Name | Peacehealth |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20031106000460 |
Provider Name | Peacehealth |
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Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1396705539 PECOS PAC ID: 9436067618 Enrollment ID: O20080114000791 |
Provider Name | Balance And Nourish Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326506866 PECOS PAC ID: 0446648976 Enrollment ID: O20211102001462 |
Mailing Address | Practice Location Address |
---|---|
Emily Nicole Henry, RDN, LD 5137 Shoreline Dr, Ketchikan, AK 99901-9031 Ph: (907) 821-1340 | Emily Nicole Henry, RDN, LD 97 Eichner Ave, Ketchikan, AK 99901-9033 Ph: (907) 821-1340 |
Gail Yip Chuck, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8300 | |
Mr. Martin D Smith, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-9441 Fax: 800-591-0121 | |
Balance And Nourish, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 540 Water St Ste 101, Ketchikan, AK 99901 Phone: 907-821-1340 | |
Jessica Teune, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-9328 | |
Kristi Carol Kvist, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-4900 Fax: 800-852-3264 | |
Mrs. Janai Marie Meyer, R.D., IBCLC Dietitian Medicare: May Accept Medicare Assignments Practice Location: 130 Carlanna Lake Rd Lowr, Ketchikan, AK 99901 Phone: 907-220-9920 Fax: 907-220-9925 |