Evergreen Health and Wellness, LLC
Organization Active NPI Registered Dietitian · Kearney, MO
NPI 1982383048 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1982383048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- EVERGREEN HEALTH AND WELLNESS, LLC
- Practice address
- 14919 Plattsburg Rd
Kearney, MO 64060-8155 - Phone
- (207) 838-5549
- NPI assigned
- Jul 17, 2023
- Organization subpart
- No
Authorized official
- Name
- Johannah A Schrader, RD, LD, CDCES
- Title
- Owner/Registered Dietitian
- Phone
- (207) 838-5549
Practitioners 4
-
Aimee Spencer, PT, DPT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes | ||
| Obesity and Weight Management Nutrition Registered Dietitian |
133VN1201X | |||
| Sports Dietetics Nutrition Registered Dietitian |
133VN1501X | |||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
14919 Plattsburg Rd
Kearney, MO 64060-8155
Mailing address
14919 Plattsburg Rd
Kearney, MO 64060-8155
Phone (207) 838-5549
Other practice location 1
100 E 6th St Ste 3
Kearney, MO 64060-8631
Phone (816) 200-2442
Other providers in Kearney, MO
- Marc Jason Donahue
- Christina Dak-Wai Donze
- Marianna Elizabeth Donzse
- Johncy D Dufresne
- Empathetic Ear Therapy, LLC
- Beth Marie Ferris
- Laura Andrea Franco
- Fulfillment House Inc
- Toni Rachelle Gaddis
- Janet L Gilbert
All providers in Kearney, 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 Aug 18, 2023. 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.