INGRID BEARDSLEY (NPI# 1366787509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366787509 |
| Entity Type | Individual |
| Full Name | INGRID BEARDSLEY |
| Credential | RD |
| Practice Address |
5601 Loch Raven Blvd Good Health Center Baltimore MD 21239-2945 |
| Mailing Address |
612 S Decker Ave Baltimore MD 21224-3911 |
| Practice Telephone | 4434443787 |
| Mailing Telephone | 4432358366 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DX2909 | MD | Dietary & Nutritional Service Providers |
| Street Address |
5601 LOCH RAVEN BLVD GOOD HEALTH CENTER |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940588 | Paul Byron Fowler | Specialist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2005-05-23 |
| 1992328017 | Kaitlin Lee | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-05-22 |
| 1023646692 | Akiko Rockers | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-30 |
| 1578199519 | Erica Wilson | Pharmacist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-22 |
| 1154952497 | Kimberly Jo Jenko | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-27 |
| 1679103576 | Nerland Dimanche | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-20 |
| 1063058782 | Simcha Gratz | Nurse Practitioner | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-11-19 |
| 1548817737 | Christopher Burgess | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-08-22 |
| 1114571809 | Lauren Delmonico | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-30 |
| 1750943411 | Sana Tanveer Ahmed | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
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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 |
|---|---|---|---|---|
| 1609485176 | Olivia Massa | Dietitian, Registered | 2437 Eastern Ave Apt A, Baltimore, MD 21224-3692 | 2020-07-30 |
| 1548879018 | Isabel Betancourt | Dietitian, Registered | 3048 Odonnell St Apt 1r, Baltimore, MD 21224-4580 | 2020-07-30 |
| 1245854900 | Erin Shaw | Dietitian, Registered | 1734 Maryland Ave # 200, Baltimore, MD 21201-5804 | 2020-05-29 |
| 1487276234 | Peggy Yen | Dietitian, Registered | 106 1/2 Upnor Rd, Baltimore, MD 21212-3326 | 2020-05-15 |
| 1831724616 | Elena Kunicki | Dietitian, Registered | 777 S Eden St Apt 928, Baltimore, MD 21231-2844 | 2020-03-11 |
| 1720625668 | Ilene Marie Cervantes Del Toro | Dietitian, Registered | 2122 E Lombard St, Baltimore, MD 21231-2019 | 2019-12-10 |
| 1629615661 | Sara Zisow-mcclean | Dietitian, Registered | 2608 Hamilton Ave, Baltimore, MD 21214-1909 | 2019-12-10 |
| 1710523519 | Merritt Athletic Clubs, LLC | Dietitian, Registered | 2058 Lord Baltimore Dr, Baltimore, MD 21244-2501 | 2019-11-27 |
| 1407400849 | Apple Wellness and Nutrition Center | Dietitian, Registered | 708 Nottingham Rd Ste 2, Baltimore, MD 21229-1391 | 2019-07-24 |
| 1821659194 | Elizabeth Glenn | Dietitian, Registered | 300 N Charles St Apt 306, Baltimore, MD 21201-4335 | 2019-06-26 |
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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.