KATHERINE BORTIN (NPI# 1285067678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285067678 |
| Entity Type | Individual |
| Full Name | KATHERINE BORTIN |
| Credential | RD |
| Practice Address |
257 Northern Blvd Saint James NY 11780-1813 |
| Practice Telephone | 6317662747 |
| Mailing Telephone | 6317662747 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1095379 | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17505 N 79th Ave, Suite 110, Glendale, AZ 853088725 | 6233996825 | 6235053474 |
| Street Address |
257 NORTHERN BLVD |
| City | SAINT JAMES |
| State | NY |
| Zip Code | 11780-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623956 | Mercy Cryz Kenny | Technician | 12 Three Sisters Rd, St James, NY 11780 | 2019-05-01 |
| 1720503089 | Lindsay Anne Struss | Specialist | 5 Storybook Lane, Saint James, NY 11780 | 2017-08-08 |
| 1194250027 | Dr. Suzanne Greenberg | Chiropractor | 2 Grill Drive, Saint James, NY 11780 | 2017-04-28 |
| 1811363484 | Rely Rx Inc | Durable Medical Equipment & Medical Supplies | 731 B Middle Country Rd, Saint James, NY 11780 | 2015-08-18 |
| 1639563018 | Victoria Grande | Counselor | 348 Lake Ave, Saint James, NY 11780 | 2015-03-24 |
| 1962822502 | Eugene S. Rosati, Md | Internal Medicine | 230 Lincoln Ave, St James, NY 11780 | 2014-04-22 |
| 1346664323 | Judith Ann Pedley | Occupational Therapist | 10 Lancelot Court, Saint James, NY 11780 | 2014-02-11 |
| 1619303336 | Kimberly Ada Flugman | Physical Therapist | 16 Deepwells Lane, St James, NY 11780 | 2013-09-26 |
| 1952606113 | Valley Stream Optometry Pllc | Optometrist | 129 Rockaway Avenue, Valley Stream, NY 11780 | 2011-01-20 |
| 1154586733 | Edward C Brant | Dentist | 447 Lake Avenue, St James, NY 11780 | 2008-07-23 |
| Find all providers in zip 11780 | ||||
| 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 |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1013518232 | Leslie Wayte Heineman | Dietitian, Registered | 220 Evandale Rd, Scarsdale, NY 10583-1530 | 2020-11-04 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1780285320 | Khy Ee Siew | Dietitian, Registered | 3 Horizon Rd, Great Neck, NY 11020-1143 | 2020-11-02 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1982203519 | Grace Young Ko | Dietitian, Registered | 15009 Northern Blvd Fl 4, Flushing, NY 11354-3888 | 2020-10-24 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1083213763 | Sarah Bourdet | Dietitian, Registered | 4314 60th St Apt 4b, Woodside, NY 11377-4914 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JAMES |
| Zip Code | 11780 |
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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.