CORPORATE WELLNESS NUTRITION (NPI# 1316257553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316257553 |
| Entity Type | Organization |
| Organization Name | CORPORATE WELLNESS NUTRITION |
| Practice Address |
1839 Manton Street Philadelphia PA 19146 |
| Mailing Address |
150 Monument Rd Ste 207 Bala Cynwyd PA 19004-1725 |
| Practice Telephone | 2158276701 |
| Practice Fax Number | 8002581426 |
| Mailing Telephone | 8002038657 |
| Mailing Fax Number | 8002581426 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | KRISTA YODER LATORTUE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2158276701 |
| Authorized Official Credential | RD, LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN003782 | PA | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Monument Rd, Suite 207, Bala Cynwyd, PA 19004 | 8002038657 | 8002581426 |
| Street Address |
1839 MANTON STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
| 1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
| 1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
| 1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
| Find all providers in zip 19146 | ||||
| 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 |
|---|---|---|---|---|
| 1932716685 | Nicole Behner | Dietitian, Registered | 1824 Stanwood St, Philadelphia, PA 19152-2619 | 2020-09-28 |
| 1235743048 | Lauren Davidheiser | Dietitian, Registered | 2212 Almond St, Philadelphia, PA 19125-3605 | 2020-08-31 |
| 1730799222 | Hannah Pfohl | Dietitian, Registered | 1136 N American St Unit 114, Philadelphia, PA 19123-1677 | 2020-08-09 |
| 1851901771 | Laura Michelle Cresta | Dietitian, Registered | 1030 N 2nd St Unit 303, Philadelphia, PA 19123-1595 | 2020-08-05 |
| 1386253318 | Porrazza Nutrition LLC | Dietitian, Registered | 2417 Welsh Rd Ste 21118, Philadelphia, PA 19114-2213 | 2020-07-27 |
| 1326665464 | Michelle Giacometti | Dietitian, Registered | 442 Naomi St, Philadelphia, PA 19128-3618 | 2020-07-05 |
| 1649897026 | Jennifer Andia Warshaw | Dietitian, Registered | 408 Regatta Dr, Philadelphia, PA 19146-5247 | 2020-07-01 |
| 1437774890 | Kylie Anne Mckenzie | Dietitian, Registered | 800 Admirals Way Unit 1841, Philadelphia, PA 19146-5241 | 2020-06-11 |
| 1063049914 | Kaitlyn Marie Willwerth | Dietitian, Registered | 350 S 15th St, Philadelphia, PA 19102-4919 | 2020-03-23 |
| 1134751522 | Anabelle Harari Clebaner | Dietitian, Registered | 9211 Ambassador Pl Fl 2, Philadelphia, PA 19115-4610 | 2020-02-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19146 |
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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.