MR. ANOTHONY DOMINICK PATRICELLI JR. (NPI# 1407055882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407055882 |
| Entity Type | Individual |
| Full Name | MR. ANOTHONY DOMINICK PATRICELLI JR. |
| Credential | RD,CDN |
| Practice Address |
555 E Market St Elmira NY 14901-3223 |
| Practice Telephone | 6077336541 |
| Practice Fax Number | 6077377837 |
| Mailing Telephone | 6077336541 |
| Mailing Fax Number | 6077377837 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 853915 | NY | Dietary & Nutritional Service Providers |
| Street Address |
555 E MARKET ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731123 | St. Joseph's Hospital | General Acute Care Hospital | 555 E Market St, Elmira, NY 14901-3223 | 2005-06-24 |
| 1396113072 | St. Joseph's Hospital/ Arnot Health | Rehabilitation Hospital | 555 E Market St, Elmira, NY 14901-3223 | 2015-09-11 |
| 1922277086 | Joel Adam Drake | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2008-02-22 |
| 1053591735 | Leann Fayne Shelmire | Physician Assistant | 555 E Market St, Elmira, NY 14901-3223 | 2007-11-09 |
| 1538356845 | Elizabeth Helene O'herron-tolbert | Physician Assistant | 555 E Market St, Elmira, NY 14901-3223 | 2007-10-01 |
| 1982803243 | Laura J Fleming | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2007-07-16 |
| 1275735326 | Denise Marie Mckerrow | Specialist | 555 E Market St, Elmira, NY 14901-3223 | 2007-06-01 |
| 1578783130 | Linda M Whittemore | Physical Therapy Assistant | 555 E Market St, Elmira, NY 14901-3223 | 2007-04-26 |
| 1629117064 | Rebecca Ann Golding | Nurse Practitioner | 555 E Market St, St Joseph's Hospital, Elmira, NY 14901 | 2007-02-05 |
| 1982741427 | Christopher Wilson Brady | Physical Therapy Assistant | 555 E Market St, Elmira, NY 14901-3223 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| 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 |
|---|---|---|---|---|
| 1194286385 | Lisa Wert | Dietitian, Registered | 100 Washington St Bldg 1, Elmira, NY 14901-2849 | 2019-03-29 |
| 1396957288 | Bedelia Colleen Nowak | Dietitian, Registered | 256 Snell Rd, Elmira, NY 14901 | 2007-05-04 |
| 1003377292 | Mary Griffin | Dietitian, Registered | 100 Washington St Bldg 1, Elmira, NY 14901-2849 | 2019-03-29 |
| 1659654457 | Cynthia Marie Shedden | Dietitian, Registered | 602 Ivy St, Elmira, NY 14905-1646 | 2011-09-28 |
| 1902189889 | Joan Macblane | Dietitian, Registered | 602 Ivy St, Elmira, NY 14905-1646 | 2011-09-27 |
| 1598048183 | Maren Jean Callahan | Dietitian, Registered | 600 Roe Ave, Elmira, NY 14905-1629 | 2011-09-21 |
| 1922277086 | Joel Adam Drake | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2008-02-22 |
| 1801064795 | Donna Jean Burdick | Dietitian, Registered | 163 Sullivan St, Elmira, NY 14901-3331 | 2008-02-14 |
| 1982803243 | Laura J Fleming | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2007-07-16 |
| 1114078458 | Nan Mansfield | Dietitian, Registered | 600 Fitch St, Elmira, NY 14905-1634 | 2007-01-15 |
| Find all providers in ELMIRA | ||||
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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.