MARY ELLEN DIMATTEO (NPI# 1417108622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417108622 |
| Entity Type | Individual |
| Full Name | MARY ELLEN DIMATTEO |
| Credential | R.D. |
| Practice Address |
280 N Providence Rd Media PA 19063-3527 |
| Mailing Address |
701 Bobbin Mill Rd Media PA 19063-1532 |
| Practice Telephone | 6108916609 |
| Mailing Telephone | 6108916609 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN003968 | PA | Dietary & Nutritional Service Providers |
| Street Address |
280 N PROVIDENCE RD |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265411771 | Sutera & Jones Surgical Podiatry, P.C. | Podiatrist | 280 N Providence Rd, Upper Level, Media, PA 19063-3527 | 2006-01-12 |
| 1164728440 | Donna Marie Liu | Counselor | 280 N Providence Rd, Media, PA 19063-3527 | 2011-02-02 |
| 1548414139 | Emily Kranzley Killar | Clinical Neuropsychologist | 280 N Providence Rd, Suite 6, Media, PA 19063-3527 | 2008-11-09 |
| 1457517989 | Judith Anne Hammet-kelly | Psychologist | 280 N Providence Rd, Suite 104, Media, PA 19063-3527 | 2008-08-04 |
| 1053537530 | Amy B. Young | Counselor | 280 N Providence Rd, Suite 106, Media, PA 19063-3527 | 2007-04-17 |
| 1952422552 | Jane S Mackay | Psychologist | 280 N Providence Rd, Media, PA 19063-3527 | 2007-04-02 |
| 1922142371 | Kathleen M. Schank | Social Worker | 280 N Providence Rd, Media, PA 19063-3527 | 2007-02-19 |
| 1952462707 | Cheryl Mccarthy | Psychologist | 280 N Providence Rd, Media, PA 19063-3527 | 2006-12-13 |
| 1568521490 | Mildred Virginia Thompson | Psychologist | 280 N Providence Rd, Media, PA 19063-3527 | 2006-12-06 |
| 1689767220 | Kristin Lynne Nowell | Psychologist | 280 N Providence Rd, Suite 6, Media, PA 19063-3527 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| 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 |
|---|---|---|---|---|
| 1245870260 | Meghan Elisabeth Smith | Dietitian, Registered | 70 N Pennell Rd, Media, PA 19063-5520 | 2020-01-07 |
| 1225306848 | Lori Perikles Enriquez | Dietitian, Registered | 212 Wrights Ln, Media, PA 19063-5331 | 2011-12-09 |
| 1780154658 | Amber Lynn Bowitz | Dietitian, Registered | 24 Veterans Sq, Media, PA 19063-3155 | 2018-12-04 |
| 1437628369 | Victoria Natali | Dietitian, Registered | 24 Veterans Sq, Media, PA 19063-3155 | 2018-11-20 |
| 1881187508 | Rebecca Rinehart | Dietitian, Registered | 24 Veterans Sq, Media, PA 19063-3155 | 2018-06-07 |
| 1659863538 | Laurel Dix | Dietitian, Registered | 24 Veterans Sq, Media, PA 19063-3155 | 2018-06-05 |
| 1598257883 | Emily Rykaczewski | Dietitian, Registered | 24 Veterans Sq, Media, PA 19063-3155 | 2018-06-01 |
| 1881185510 | Ashley Elizabeth Haluck | Dietitian, Registered | 24 Veterans Sq, Media, PA 19063 | 2018-05-29 |
| 1245720614 | Samantha Bluj | Dietitian, Registered | 24 Veterans Sq, Media, PA 19063-3155 | 2018-05-11 |
| 1134617129 | Olivia J Fieo | Dietitian, Registered | 24 Veterans Sq, Media, PA 19063-3155 | 2018-04-25 |
| Find all providers in MEDIA | ||||
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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.