ELISE FENSTERMAKER (NPI# 1114230190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114230190 |
| Entity Type | Individual |
| Full Name | ELISE FENSTERMAKER |
| Credential | RD |
| Practice Address |
5150 Timuquana Rd Jacksonville FL 32210-8959 |
| Mailing Address |
900 University Blvd N #606 Jacksonville FL 32211-9230 |
| Practice Telephone | 9042532359 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND 5534 | FL | Dietary & Nutritional Service Providers |
| Street Address |
5150 TIMUQUANA RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-8959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428932 | Akilah J Pope | Pediatrics | 5150 Timuquana Rd, Jacksonville, FL 32210-8959 | 2005-09-27 |
| 1104259019 | Florida Department of Health | Clinic/Center | 5150 Timuquana Rd, Suite 9, Jacksonville, FL 32210-8959 | 2013-08-14 |
| 1154670958 | Joseph Spencer Greenwood | Dietitian, Registered | 5150 Timuquana Rd, Jacksonville, FL 32210-8959 | 2012-09-07 |
| 1720392087 | David Wayne Seal | Pharmacist | 5150 Timuquana Rd, Jacksonville, FL 32210-8959 | 2010-07-28 |
| 1437389590 | Stacey Michel Davis | Nurse Practitioner | 5150 Timuquana Rd, Suite 9, Jacksonville, FL 32217 | 2009-07-22 |
| 1033365267 | Coordinated Wound Care, Inc. | Durable Medical Equipment & Medical Supplies | 5150 Timuquana Rd, Suite 3, Jacksonville, FL 32210-8959 | 2008-08-07 |
| 1144417908 | Melissa Donette Cooper | Dietitian, Registered | 5150 Timuquana Rd, Suite 9, Jacksonville, FL 32210-8959 | 2007-09-26 |
| 1083651442 | Suja E Koshy | Dietitian, Registered | 5150 Timuquana Rd, Ste 9, Jacksonville, FL 32210-8959 | 2006-06-02 |
| 1699727115 | Jannie E Gichia | Advanced Practice Midwife | 5150 Timuquana Rd, Suite 9, Jacksonville, FL 32210-8959 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| 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 |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1073127528 | David Cameron Yarborough | Dietitian, Registered | 8165 Veracruz Dr, Jacksonville, FL 32211-5034 | 2020-09-02 |
| 1710597562 | Rachel Lynn Mccandless | Dietitian, Registered | 1814 Industrial Blvd, Jacksonville, FL 32254-2081 | 2020-08-06 |
| 1417586330 | Sarah Nicole Allen | Dietitian, Registered | 10000 Gate Pkwy N Apt 816, Jacksonville, FL 32246-8210 | 2020-04-02 |
| 1841823259 | Katherine Stewart | Dietitian, Registered | 4203 Belfort Rd Bldg Suite250, Jacksonville, FL 32216-1409 | 2020-02-14 |
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1972156552 | Whitney Russell | Dietitian, Registered | 413 Little Creek Ct, Jacksonville, NC 28546-8737 | 2019-07-22 |
| 1154805414 | Stacy Seslowsky | Dietitian, Registered | 4300 Lakeside Dr Unit 5, Jacksonville, FL 32210-3364 | 2018-09-21 |
| 1942787734 | Tabetha Foose | Dietitian, Registered | 13295 Smithwick Ln, Jacksonville, FL 32226-0717 | 2018-07-24 |
| 1336656255 | Julia Whelan | Dietitian, Registered | 1488 Landau Rd, Jacksonville, FL 32225-8275 | 2017-12-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
Please comment or provide details below to improve the information on ELISE FENSTERMAKER.
| 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.