Nannette Jane Rogers Thornton, RD/CDE
Individual provider Active NPI Registered Dietitian · New Madrid, MO
NPI 1942530738 · NPPES record last updated Dec 30, 2009
Key facts
- NPI
- 1942530738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 421 Line St
New Madrid, MO 63869-1733 - Phone
- (573) 748-2592
- Fax
- (573) 748-2673
- NPI assigned
- Dec 30, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Health Network | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
421 Line St
New Madrid, MO 63869-1733
Mailing address
311 Main St
New Madrid, MO 63869-1942
Phone (573) 748-2404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 355856808 | Medicaid | MO |
Other providers in New Madrid, MO
- Personal Touch
- Timothy P Rausch
- Blair Ray
- Elizabeth A Riley
- Utisha Robinson
- Show-Me Grace in-Home Care Services, LLC
- Southeast Health Center of Stoddard County LLC
- Southeast Missouri Health Network
- Southeast Missouri Health Network
- Southeast Missouri Health Network
All providers in New Madrid, MO · Registered Dietitian in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.