MIKAELIE SARA GONZALEZ (NPI# 1386290708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386290708 |
| Entity Type | Individual |
| Full Name | MIKAELIE SARA GONZALEZ |
| Credential | LDN |
| Practice Address |
292 Saint Charles Way York PA 17402-4648 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178516231 |
| Practice Fax Number | 7177411719 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178516969 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN006853 | PA | Dietary & Nutritional Service Providers |
| Street Address |
292 SAINT CHARLES WAY |
| City | YORK |
| State | PA |
| Zip Code | 17402-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316984271 | Joyce Kopicky Burd | Internal Medicine | 292 Saint Charles Way, York, PA 17402-4648 | 2006-06-01 |
| 1528602976 | Amanda Tome | Dietitian, Registered | 292 Saint Charles Way, York, PA 17402-4648 | 2019-10-29 |
| 1518310572 | Jill Herbert | Dietitian, Registered | 292 Saint Charles Way, York, PA 17402-4648 | 2016-07-14 |
| 1891178836 | Nastassia De Souza | Internal Medicine | 292 Saint Charles Way, York, PA 17402-4648 | 2015-07-08 |
| 1255712295 | Christina Rowe | Dietitian, Registered | 292 Saint Charles Way, York, PA 17402 | 2015-06-16 |
| 1710382155 | Christine Petrucci | Dietitian, Registered | 292 Saint Charles Way, York, PA 17402-4648 | 2014-10-28 |
| 1073918421 | Susan Wohlbach | Nutritionist | 292 Saint Charles Way, York, PA 17402-4648 | 2014-10-28 |
| 1043630502 | Konrad Dziamski | Internal Medicine | 292 Saint Charles Way, York, PA 17402-4648 | 2014-04-23 |
| 1366705337 | Myo-pale Aye | Internal Medicine | 292 Saint Charles Way, York, PA 17402-4648 | 2012-06-24 |
| 1508129875 | Rodger Scott Stitt Jr. | Internal Medicine | 292 Saint Charles Way, York, PA 17402-4648 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| 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 |
|---|---|---|---|---|
| 1972121986 | Brigitte R Brady | Dietitian, Registered | 466 Pennsylvania Ave, York, PA 17404-2824 | 2020-07-07 |
| 1811527906 | Amanda Cario | Dietitian, Registered | 1040 Wyndsong Dr, York, PA 17403-4492 | 2020-01-17 |
| 1407490634 | Amy Ruth Jeffcoat | Dietitian, Registered | 5774 Campbell Rd, York, SC 29745-9617 | 2019-10-31 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1154780856 | Kenya Powell | Dietitian, Registered | 817 E Liberty St, York, SC 29745-1661 | 2016-02-23 |
| 1417346453 | Julie Stefanski | Dietitian, Registered | 1354 Southern Rd, York, PA 17403-3048 | 2015-01-14 |
| 1871809632 | Lacey M Bouchard | Dietitian, Registered | 4 Market Place Dr # 15, York, ME 03909-1698 | 2010-08-31 |
| 1235742651 | Savannah Greiner | Dietitian, Registered | 200 Pauline Dr, York, PA 17402-4625 | 2020-08-25 |
| 1184264731 | Stefanski Nutrition Services | Dietitian, Registered | 1354 Southern Rd, York, PA 17403-3048 | 2020-01-12 |
| 1528602976 | Amanda Tome | Dietitian, Registered | 292 Saint Charles Way, York, PA 17402-4648 | 2019-10-29 |
| Find all providers in YORK | ||||
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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.