The Medical Center Nutrition Therapy Program | |
740 E 10th Ave, Bowling Green, KY 42101-2318 | |
(270) 745-1010 | |
(270) 745-0683 |
Full Name | The Medical Center Nutrition Therapy Program |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 740 E 10th Ave, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831112507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Swaranjit K Chani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619953700 PECOS PAC ID: 6002701547 Enrollment ID: I20040216000414 |
Provider Name | Linda G Stovall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689655987 PECOS PAC ID: 1850296807 Enrollment ID: I20040317000207 |
Provider Name | Teresia F Huddleston |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1649553041 PECOS PAC ID: 3779578885 Enrollment ID: I20040419000204 |
Provider Name | Siby Sebastian |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1801864053 PECOS PAC ID: 1355330267 Enrollment ID: I20040506001645 |
Provider Name | Jacqueline G Eugenio |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1790701456 PECOS PAC ID: 9739155250 Enrollment ID: I20040907000859 |
Provider Name | Tracy G Cross |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1699778423 PECOS PAC ID: 0446287494 Enrollment ID: I20050720001115 |
Provider Name | Michael Lang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518950807 PECOS PAC ID: 3779567730 Enrollment ID: I20050803000774 |
Provider Name | Walter F Koscienski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326106527 PECOS PAC ID: 3577452135 Enrollment ID: I20050803000960 |
Provider Name | Barton K Spurlin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619917796 PECOS PAC ID: 0446215180 Enrollment ID: I20061115000298 |
Provider Name | Kevin L Flowers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093766073 PECOS PAC ID: 0749186955 Enrollment ID: I20070509000035 |
Provider Name | Sarah E Widener |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073701884 PECOS PAC ID: 9234225301 Enrollment ID: I20071020000057 |
Provider Name | Shafia Rubeen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871793430 PECOS PAC ID: 2466691191 Enrollment ID: I20131007000666 |
Provider Name | Palmella N Haws |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912954538 PECOS PAC ID: 5092615229 Enrollment ID: I20140609001004 |
Provider Name | Lindsey C Hickerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376933150 PECOS PAC ID: 8325364730 Enrollment ID: I20150302002519 |
Provider Name | Derek L Reeder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457751091 PECOS PAC ID: 5799005856 Enrollment ID: I20150513002596 |
Provider Name | Shannon Renee Shirley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235525809 PECOS PAC ID: 6709197981 Enrollment ID: I20150615000435 |
Provider Name | Zahid George Fraser |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1255426268 PECOS PAC ID: 8123331782 Enrollment ID: I20150724012363 |
Provider Name | Melissa J Mathews |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235339151 PECOS PAC ID: 7911201009 Enrollment ID: I20170428001436 |
Provider Name | Catrinia Druen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497161764 PECOS PAC ID: 2264701705 Enrollment ID: I20170627001405 |
Provider Name | Salita Hogan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699205237 PECOS PAC ID: 8022389733 Enrollment ID: I20170728002781 |
Provider Name | Charles J. Kochert |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1710925847 PECOS PAC ID: 3971553702 Enrollment ID: I20201110000499 |
Provider Name | Bethany A Crask |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073110169 PECOS PAC ID: 4880006832 Enrollment ID: I20201215002585 |
Provider Name | Melissa Simpson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265039309 PECOS PAC ID: 3971915653 Enrollment ID: I20201222002428 |
Provider Name | Shelby N Poland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578162046 PECOS PAC ID: 1557774213 Enrollment ID: I20210119002653 |
Provider Name | Kenneth Grayson Golden |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205375623 PECOS PAC ID: 5597170902 Enrollment ID: I20210325001854 |
Provider Name | Krystal B Mckain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437771946 PECOS PAC ID: 1951702547 Enrollment ID: I20210702002299 |
Provider Name | Jessica N Wallen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427670827 PECOS PAC ID: 3971908518 Enrollment ID: I20210820000268 |
Provider Name | Ann K Stokes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184267494 PECOS PAC ID: 7416382221 Enrollment ID: I20211112000720 |
Provider Name | Dennis Leslie Pratt |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1316459076 PECOS PAC ID: 4082003850 Enrollment ID: I20211116003062 |
Provider Name | Chelsea Coleman |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1013561828 PECOS PAC ID: 3072997220 Enrollment ID: I20220907001952 |
Provider Name | Angela B Marsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508527292 PECOS PAC ID: 0547638074 Enrollment ID: I20221115000598 |
Provider Name | Harlan L Dile |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629729835 PECOS PAC ID: 7416325865 Enrollment ID: I20221116001847 |
Provider Name | Katelyn M Chandler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134849474 PECOS PAC ID: 8224406475 Enrollment ID: I20221121000683 |
Provider Name | Heather Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619676921 PECOS PAC ID: 5092153460 Enrollment ID: I20240403004342 |
Provider Name | Heather Williamson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437938842 PECOS PAC ID: 5193165462 Enrollment ID: I20240503000437 |
Mailing Address | Practice Location Address |
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The Medical Center Nutrition Therapy Program Po Box 90010, Bowling Green, KY 42102-9010 Ph: (270) 745-1467 | The Medical Center Nutrition Therapy Program 740 E 10th Ave, Bowling Green, KY 42101-2318 Ph: (270) 745-1010 |
Chelsea Nicole Coleman, RD Dietitian Medicare: Medicare Enrolled Practice Location: 740 E 10th Ave, Bowling Green, KY 42101 Phone: 270-745-0942 | |
Bethany Crask, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1109 State St, Bowling Green, KY 42101 Phone: 270-781-8039 | |
Sarah Widener, RD Dietitian Medicare: Medicare Enrolled Practice Location: 843 Fairview Ave, Suite 6, Bowling Green, KY 42101 Phone: 270-901-3412 Fax: 270-901-3413 | |
Autumn L Mastroianni, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 843 Fairview Ave, Suite B6, Bowling Green, KY 42101 Phone: 270-901-3412 Fax: 270-901-3413 | |
Lorie Ann Hagan, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2625 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-745-0942 Fax: 270-745-0683 | |
Tracey Valleroy, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 146 Sylvan Cir, Bowling Green, KY 42101 Phone: 270-796-8698 | |
Ms. Bethany Michelle Meredith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 262 Natchez Trace Ave, Bowling Green, KY 42103 Phone: 270-842-2154 |