MS. BEVERLY BLOSSOM HERMALYN (NPI# 1437243458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437243458 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY BLOSSOM HERMALYN |
| Credential | R.D. |
| Practice Address |
79 Middlevile Road Northport NY 11768 |
| Mailing Address |
79 Middleville Rd Northport NY 11768-2200 |
| Practice Telephone | 6312614400 |
| Practice Fax Number | 6312666018 |
| Mailing Telephone | 6312614400 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
79 MIDDLEVILE ROAD |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| 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 |
|---|---|---|---|---|
| 1194912147 | Heidi Dawn Dyer-raley | Dietitian, Registered | 505 Energy Center Bloulevard, Suite 602, Northport, AL 35473 | 2007-10-03 |
| 1578661948 | Rita Rover | Dietitian, Registered | 168 Laurel Ave, Northport, NY 11768-3168 | 2006-09-20 |
| 1609238104 | Lisa Angadi | Dietitian, Registered | 79 Middleville Rd, Northport, NY 11768-2200 | 2016-03-23 |
| 1114392321 | Georgina Hignell | Dietitian, Registered | 79 Middleville Rd, Northport, NY 11768-2200 | 2015-12-14 |
| 1851705537 | Christine Going | Dietitian, Registered | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-06-20 |
| 1043639867 | Cara Amcher | Dietitian, Registered | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-04-09 |
| 1528306610 | Michelle Gioe | Dietitian, Registered | 79 Middleville Rd, Northport, NY 11768-2200 | 2013-01-23 |
| 1467797100 | Marina Stauffer, Registered Dietitian, Certified Dietitian Nutritionis | Dietitian, Registered | 694 Fort Salonga Rd, Northport, NY 11768-3147 | 2012-12-06 |
| 1821366410 | Suzanne Elizabeth Sullivan | Dietitian, Registered | 79 Middleville Rd, Northport, NY 11768-2200 | 2011-12-09 |
| 1669781340 | Jennifer Christin Armolt | Dietitian, Registered | 4815 Rose Blvd, Northport, AL 35475-5950 | 2010-09-29 |
| Find all providers in NORTHPORT | ||||
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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.