MRS. CAROL ANN BERNARD (NPI# 1083801591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083801591 |
| Entity Type | Individual |
| Full Name | MRS. CAROL ANN BERNARD |
| Credential | REGISTERED DIETETIC |
| Practice Address |
71 Haynes Street Manchester Memorial Hospital Manchester CT 06040 |
| Practice Telephone | 8606461222 |
| Practice Fax Number | 8606476857 |
| Mailing Telephone | 8606461222 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851834642 | Carol Bernard | Counselor | 2864 Moody Ave, Orange Park, FL 32073-6423 | 2016-11-28 |
| 1881625853 | Carol Bernard | Social Worker | 3001 C St, Anchorage, AK 99503-3913 | 2006-07-06 |
| Street Address |
71 HAYNES STREET MANCHESTER MEMORIAL HOSPITAL |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164490587 | Barbara Ann Pascal-gladstone | Clinical Nurse Specialist | 71 Haynes Street, Manchester, CT 06040 | 2006-03-10 |
| 1891291217 | Melissa Cowen | Registered Nurse | 71 Haynes Street, Dsmp, 2nd Floor, Manchester, CT 06040 | 2018-04-04 |
| 1780940080 | Ingrid Melainie Abrahamson | Physician Assistant | 71 Haynes Street, Manchester, CT 06040 | 2012-04-11 |
| 1619251816 | Jenna Marie Cooke | Nurse Practitioner | 71 Haynes Street, Manchester, CT 06040-4188 | 2011-10-06 |
| 1285821793 | Heather Lynn Gifford | Dietitian, Registered | 71 Haynes Street, Manchester Memorial Hospital, Manchester, CT 06040 | 2007-09-28 |
| 1184811697 | Kristen Beth Goric | Dietitian, Registered | 71 Haynes Street, Manchester, CT 06040 | 2007-09-28 |
| 1457548968 | Alison Marie Martin | Dietitian, Registered | 71 Haynes Street, Sodexo At Manchester Memorial Hospital, Manchester, CT 06040 | 2007-09-28 |
| 1144386541 | Emily Li | Internal Medicine | 71 Haynes Street, Suite 1209, Manchester, CT 06040 | 2006-12-29 |
| 1356308514 | Bruno Valentine Lozito | Counselor | 71 Haynes Street, Manchester, CT 06040 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447718895 | Kira Pantschenko | Dietetic Technician, Registered | 70 Ridgefield Rd, Wilton, CT 06897-3005 | 2019-03-05 |
| 1881168193 | Cindy Elizabeth Mcauliffe | Dietetic Technician, Registered | 13 Barwood Mnr, Unionville, CT 06085-1211 | 2019-01-20 |
| 1801123856 | Melissa A Sullivan | Dietetic Technician, Registered | 95 Woodland St, Suite 200, Hartford, CT 06105-1230 | 2009-11-12 |
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on MRS. CAROL ANN BERNARD.
| 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.