MRS. PAMELA M. BLACKMER (NPI# 1285879460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285879460 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA M. BLACKMER |
| Credential | R.D. |
| Practice Address |
3229 E Genesee St Syracuse NY 13214-2016 |
| Practice Telephone | 3154645726 |
| Mailing Telephone | 3154645726 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 004603-1 | NY | Dietary & Nutritional Service Providers |
| Street Address |
3229 E GENESEE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132695 | Rachel L. Hopkins | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2005-08-23 |
| 1689234965 | Marsha Ann Mosher | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2040 | 2019-06-18 |
| 1992362511 | Destiny M Jett | Physician Assistant | 3229 E Genesee St, Syracuse, NY 13214-2040 | 2019-05-20 |
| 1770061863 | Lauren K Eadline | Nurse Practitioner | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2018-08-01 |
| 1831617646 | Rebecca Lynn Fuller | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2017-08-31 |
| 1346782695 | Jennifer Lansing | Physician Assistant | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2016-11-16 |
| 1992156996 | Danielle Stegman-barber | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2016-06-30 |
| 1497125660 | Cassie Arnold | Physician Assistant | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2015-10-01 |
| 1922409135 | Maria Aquilino | Nurse Practitioner | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2014-09-07 |
| 1174815245 | Ruban Dhaliwal | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2011-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
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| 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 |
|---|---|---|---|---|
| 1194336248 | Amanda E Vadala | Dietitian, Registered | 216 Conklin Ave, Syracuse, NY 13206 | 2020-08-12 |
| 1386252716 | Gregory M Belzak | Dietitian, Registered | 108 Ormsby Dr, Syracuse, NY 13219-3117 | 2020-07-22 |
| 1871135863 | Leah Webster | Dietitian, Registered | 100 Huckleberry Ln, Syracuse, NY 13219-2114 | 2019-10-11 |
| 1376019711 | Rachel Lauren Watkins | Dietitian, Registered | 3300 James St Ste 4, Syracuse, NY 13206-2670 | 2018-10-23 |
| 1790221984 | Kathleen Mary Bump | Dietitian, Registered | 300 Halton Rd, Syracuse, NY 13224-2228 | 2017-01-11 |
| 1093017485 | Jennifer A Brady | Dietitian, Registered | 1966 S 2590 W, Syracuse, UT 84075-7022 | 2010-11-17 |
| 1518271808 | Heather Lynn Neely | Dietitian, Registered | 765 Irving Avenue, Marley Education Center, Suite 229, Syracuse, NY 13210 | 2010-07-29 |
| 1942332804 | Cynthia Todd | Dietitian, Registered | 600 S. Wilbur Ave., Horizons Clinic, Arc of Onondaga, Syracuse, NY 13204 | 2007-03-09 |
| 1770529497 | Marilyn Frances Crosby | Dietitian, Registered | 3779 Pegasus Circle, Syracuse, NY 13209-9504 | 2006-06-21 |
| 1275500621 | Donna L Acox | Dietitian, Registered | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2006-03-03 |
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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.