MARIELLE ELIZABETH SMOLLER (NPI# 1013559483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013559483 |
| Entity Type | Individual |
| Full Name | MARIELLE ELIZABETH SMOLLER |
| Other Name | MARIELLE ELIZABETH MANGANO |
| Credential | MS, RD |
| Practice Address |
2002 Sproul Rd Ste 200 Broomall PA 19008-3510 |
| Mailing Address |
4 Carey St Pennington NJ 08534-1047 |
| Practice Telephone | 2672296506 |
| Mailing Telephone | 2672296506 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86008269 | Dietary & Nutritional Service Providers |
| Street Address |
2002 SPROUL RD STE 200 |
| City | BROOMALL |
| State | PA |
| Zip Code | 19008-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440060 | Emily Crawford | Dietitian, Registered | 2002 Sproul Rd Ste 200, Broomall, PA 19008-3510 | 2019-07-26 |
| 1669012696 | Regina Anne Pellegrino | Dietitian, Registered | 2002 Sproul Rd Ste 200, Broomall, PA 19008-3510 | 2020-01-07 |
| 1841847126 | Karly Rae Fani | Dietitian, Registered | 2002 Sproul Rd Ste 200, Broomall, PA 19008-3510 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098964 | Ashley Szewczuk | Occupational Therapy Assistant | 50 Malin Rd., Broomall, PA 19008 | 2019-02-06 |
| 1134647316 | Bernadette Jacobs | Registered Nurse | Accucare Home Nursing 1999 Sproul Rd, # 1, Broomall, PA 19008 | 2017-09-07 |
| 1447780549 | Laura Ann Jamison | Physical Therapy Assistant | 50 North Malin Road, Broomall, PA 19008 | 2017-06-13 |
| 1528596608 | Lauren S. Burns | Occupational Therapist | 51 N Malin Rd., Broomall, PA 19008 | 2017-06-01 |
| 1558893024 | Marc Belitsky D.c., .pc. | Clinic/Center | 2633 West Chester Pike, Broomall, PA 19008 | 2017-04-03 |
| 1053773390 | Helen Richman | Pharmacist | 567 Sproul Road, Broomall, PA 19008 | 2016-03-25 |
| 1487028007 | Jenelle Thomas | Social Worker | 85 N. Malin Road, Broomall, PA 19008 | 2015-11-19 |
| 1649654740 | Akeesha M Washington | Counselor | 600 Abbott Drive, Broomall, PA 19008 | 2015-07-17 |
| 1821411976 | Ketrin Kapllani | Behavioral Analyst | 475 Lawrence, Philadelphia, PA 19008 | 2014-01-27 |
| 1710325741 | Joel Christopher Fusunyan-lee | Registered Nurse | 219 Sussex Blvd, Broomall, PA 19008 | 2013-06-12 |
| Find all providers in zip 19008 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440060 | Emily Crawford | Dietitian, Registered | 2002 Sproul Rd Ste 200, Broomall, PA 19008-3510 | 2019-07-26 |
| 1013339712 | Samantha Lupica | Dietitian, Registered | 2406 Georgian Ln, Broomall, PA 19008-2510 | 2014-01-14 |
| 1134447808 | Nyree Dardarian | Dietitian, Registered | 108 Ceton Ct, Broomall, PA 19008-2524 | 2010-05-05 |
| 1902122146 | Jill Heather The | Dietitian, Registered | 14 Vassar Rd, Broomall, PA 19008-3323 | 2010-04-13 |
| 1992327225 | Jillian Fink | Dietitian, Registered | 50 N Malin Rd, Broomall, PA 19008-1498 | 2020-05-08 |
| 1669012696 | Regina Anne Pellegrino | Dietitian, Registered | 2002 Sproul Rd Ste 200, Broomall, PA 19008-3510 | 2020-01-07 |
| 1841847126 | Karly Rae Fani | Dietitian, Registered | 2002 Sproul Rd Ste 200, Broomall, PA 19008-3510 | 2019-08-21 |
| 1285295451 | Jamie Marie O'boyle | Dietitian, Registered | 1991 Sproul Rd, Broomall, PA 19008-3512 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417593 | April Christine Hawkins | Dietitian, Registered | 408 Blacklatch Ln, Camp Hill, PA 17011-8414 | 2020-11-03 |
| 1184225757 | Aleaha Lynn Wacker | Dietitian, Registered | 95 Rocky View Dr, Hawley, PA 18428-4535 | 2020-11-02 |
| 1518568088 | Laura Rose Alfieri | Dietitian, Registered | 850 E Water Street Ext, Smethport, PA 16749-2024 | 2020-11-02 |
| 1679174122 | Erika Marie Johnson | Dietitian, Registered | 1111 Franklin St Ste 180, Johnstown, PA 15905-4341 | 2020-11-02 |
| 1184224206 | Madison Demoss | Dietitian, Registered | 43 Brinker Dr, Doylestown, PA 18901-7008 | 2020-10-28 |
| 1124628201 | Shannon Lynch | Dietitian, Registered | 8 E Pine St Apt 1, Enola, PA 17025-2827 | 2020-10-28 |
| 1205434818 | Shannan Marie Stewart | Dietitian, Registered | 770 Miles Rd Ste 1, West Chester, PA 19380-1950 | 2020-10-15 |
| 1992303135 | Sneha Lakhotia | Dietitian, Registered | 200 Possum Way, Clarks Green, PA 18411-8988 | 2020-10-10 |
| 1407453210 | Susan Anne Zikos | Dietitian, Registered | 229 Edelweiss Dr, Wexford, PA 15090-9454 | 2020-10-05 |
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.