Theresa Dohm, RD LD CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2007024809 Issued in MO

Practice address

1716 Kansas Ave
Joplin, MO 64804-0938

Phone

(417) 396-0993

NPI assigned

Nov 26, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1851721997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 KANSAS AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040938",
            "telephone_number": "417-396-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 KANSAS AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040938",
            "telephone_number": "417-396-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHM",
        "first_name": "THERESA",
        "credential": "RD LD CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2007024809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oumoulkairy Diop
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• Deborah Diroll
• Jack Doan
• Sarah Dodson, FNP-C
• Whitney J Dollins, DMD
• Winsley Dombroski
• Devin Donegan
• Karen Donelson
• Rodney Paul Donham, DO

• Registered Dietitian in Joplin, MO
• Providers in Joplin, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.