MRS. MIKELANNE CHRISTINE PHANEUF (NPI# 1306157821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306157821 |
| Entity Type | Individual |
| Full Name | MRS. MIKELANNE CHRISTINE PHANEUF |
| Credential | R.D. |
| Practice Address |
111 Osborne St Medical Arts Center, 2nd Floor Danbury CT 06810-6000 |
| Practice Telephone | 2037397131 |
| Mailing Telephone | 2037397131 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 814055 | CT | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 000693 | CT | Dietary & Nutritional Service Providers |
| Street Address |
111 OSBORNE ST MEDICAL ARTS CENTER, 2ND FLOOR |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379832 | Charles Bruce Walsh | Surgery | 111 Osborne St, Danbury, CT 06810 | 2005-07-12 |
| 1396154969 | Michele Bibbo | Nurse Practitioner | 111 Osborne St, Danbury, CT 06810-6000 | 2014-08-08 |
| 1487068482 | Neesha Bastien | Physician Assistant | 111 Osborne St, Danbury, CT 06810-6000 | 2014-06-17 |
| 1770915670 | Ahmed Mohammad Khan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Osborne St, Danbury, CT 06810-6000 | 2013-08-01 |
| 1346509163 | Total Renal Care Inc | Clinic/Center | 111 Osborne St, Ste 211, Danbury, CT 06810-6031 | 2012-05-14 |
| 1083931166 | Heath Walden | Surgery | 111 Osborne St, Danbury, CT 06810-6000 | 2010-04-28 |
| 1902122021 | Nicole Melia Levetown | Registered Nurse | 111 Osborne St, Suite 131, Danbury, CT 06810-6000 | 2010-04-14 |
| 1922254184 | Panupong Lisawat | Internal Medicine | 111 Osborne St, Suite 210, Danbury, CT 06810-6000 | 2008-08-07 |
| 1063672780 | Maria Cutrali | Nurse Practitioner | 111 Osborne St, Suite 131, Danbury, CT 06810-6000 | 2008-06-16 |
| 1790943686 | Russell Howard Stein | Internal Medicine | 111 Osborne St, Danbury, CT 06810 | 2008-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| 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 |
|---|---|---|---|---|
| 1912472341 | Lisa Jean Mitchell | Dietitian, Registered | 13013 County Road 171, Danbury, TX 77534-9749 | 2018-10-12 |
| 1871931329 | Jamie Lee Mcintyre | Dietitian, Registered | 7005 Hancock Dr, Danbury, CT 06811-2651 | 2013-06-06 |
| 1629359518 | Prafulla Thippeswami | Dietitian, Registered | 136 Pembroke Rd, #42, Danbury, CT 06811-3075 | 2011-09-06 |
| 1437475381 | Sandra Jean Mandanici | Dietitian, Registered | 2506 Eaton Ct, Danbury, CT 06811-4065 | 2010-04-18 |
| 1417053232 | Tamara Lynn Swett | Dietitian, Registered | 58 Park Ave, Danbury, CT 06810-7630 | 2006-09-16 |
| 1275141624 | Megan Mirgorodsky | Dietitian, Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-07-21 |
| 1407218001 | Brianna Farrand | Dietitian, Registered | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2016-03-23 |
| 1588023535 | Rena A Bruckman | Dietitian, Registered | 72 North St, Ste 205, Danbury, CT 06810-5648 | 2016-02-18 |
| 1790144293 | Beverly Jo Rowe | Dietitian, Registered | 41 Germantown Rd, Suite B03, Danbury, CT 06810-4087 | 2016-02-12 |
| 1003120809 | Tha Natural Nutritionist LLC | Dietitian, Registered | 103 Mill Plain Rd, Suite 1, Danbury, CT 06811-5171 | 2010-08-04 |
| Find all providers in DANBURY | ||||
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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.