GREATLIFE WELLNESS CENTER (NPI# 1215093976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215093976 |
| Entity Type | Organization |
| Organization Name | GREATLIFE WELLNESS CENTER |
| Practice Address |
3115 Route 38 Mount Laurel NJ 08054-9752 |
| Practice Telephone | 8562346072 |
| Practice Fax Number | 8562346142 |
| Mailing Telephone | 8562346072 |
| Mailing Fax Number | 8562346142 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JENNIFER B MELE (DIETITIAN) |
| Authorized Official Telephone | 8562346072 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 00727429 | Dietary & Nutritional Service Providers |
| Street Address |
3115 ROUTE 38 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-9752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033104906 | Leigh Ann Thatcher Erlanger | Occupational Therapist | 3115 Route 38, Suite 300, Mount Laurel, NJ 08054-9752 | 2005-09-15 |
| 1003121278 | Jeremy David Martinsen | Physical Therapist | 3115 Route 38, Suite 300, Mount Laurel, NJ 08054-9725 | 2010-08-12 |
| 1962462473 | Kelly Scott Kover | Physical Therapist | 3115 Route 38, Suite 300, Mount Laurel, NJ 08054-9752 | 2006-03-27 |
| 1578537288 | Lori A Auletta | Physical Therapist | 3115 Route 38, Suite 300, Mount Laurel, NJ 08054-9752 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| 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 |
|---|---|---|---|---|
| 1881200699 | Morgan Fereck | Dietitian, Registered | 510 Bradley Ct, Mount Laurel, NJ 08054-4215 | 2020-09-17 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1952857948 | Megan Lyons | Dietitian, Registered | 15000 Midlantic Dr Ste 101, Mount Laurel, NJ 08054 | 2016-08-30 |
| 1407248479 | Karla Goldstein | Dietitian, Registered | 518 Perry Dr, Mount Laurel, NJ 08054-3232 | 2015-02-26 |
| 1942472998 | Marjorie E Arnold | Dietitian, Registered | 1025 Briggs Rd, Suite 148, Mount Laurel, NJ 08054-4103 | 2008-03-31 |
| 1629254016 | Annette Marie Boulden | Dietitian, Registered | 2403 Yarmouth Ln, Mount Laurel, NJ 08054-6262 | 2008-01-15 |
| 1457530685 | Noelle Gibson Brown | Dietitian, Registered | 63 Spinnaker Dr, Mount Laurel, NJ 08054-6107 | 2007-10-24 |
| 1669098950 | Carly Linus | Dietitian, Registered | 15000 Midlantic Dr Ste 101, Mount Laurel, NJ 08054-1573 | 2020-06-22 |
| 1952873549 | Elizabeth Gural | Dietitian, Registered | 15000 Midlantic Dr Ste 101, Mount Laurel, NJ 08054-1573 | 2018-12-20 |
| 1659878296 | Stephanie Elizabeth Zulkoski | Dietitian, Registered | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2018-04-10 |
| Find all providers in MOUNT LAUREL | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
Please comment or provide details below to improve the information on GREATLIFE WELLNESS CENTER.
| 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.