CASEY KERBS (NPI# 1467017293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467017293 |
| Entity Type | Individual |
| Full Name | CASEY KERBS |
| Credential | RDN, CDN |
| Practice Address |
1455 Old Shipyard Ln Southold NY 11971-1539 |
| Mailing Address |
430 Riley Ave Mattituck NY 11952-1804 |
| Practice Telephone | 6312752370 |
| Mailing Telephone | 6312752370 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 009080 | NY | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 1099557 | NY | Dietary & Nutritional Service Providers |
| Street Address |
1455 OLD SHIPYARD LN |
| City | SOUTHOLD |
| State | NY |
| Zip Code | 11971-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1477023950 | Danielle Lee Ruquet | Counselor | 44210 Rt. 48 North Road, Southold, NY 11971 | 2018-11-28 |
| 1538663687 | Maureen O'donnell | Registered Nurse | 540 Maple Lane, Southhold, NY 11971 | 2018-03-22 |
| 1710421078 | Svc of Southold LLC | Eyewear Supplier (Equipment, not the service) | 44210 Rte 48, Ste. 1, Southold, NY 11971 | 2016-12-06 |
| 1083160378 | Olha Michalak | Licensed Practical Nurse | 555 Clearview Ave, Southold, NY 11971 | 2016-08-28 |
| 1780036947 | Megan Hays | Nurse Practitioner | 44210 Middle Road Route 48, Southold, NY 11971 | 2016-07-12 |
| 1215336979 | Patricia Anne Buerkle | Clinical Nurse Specialist | 100 Center Drive, Sccf Jail Medical, Riverhead, NY 11971 | 2014-08-19 |
| 1407191364 | East End Physician Services PC | Internal Medicine | 44210 County Rd. 48, Southold, NY 11971 | 2012-12-04 |
| 1558648782 | Janice Marie Conover | Registered Nurse | 895 Top Sail Lane, Southold, NY 11971 | 2011-11-16 |
| 1255640132 | Nicholas Kardaras | Social Worker | 53480 Main Road Route 25, Suite 1, Southold, NY 11971 | 2010-09-27 |
| Find all providers in zip 11971 | ||||
| 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 |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1013518232 | Leslie Wayte Heineman | Dietitian, Registered | 220 Evandale Rd, Scarsdale, NY 10583-1530 | 2020-11-04 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1780285320 | Khy Ee Siew | Dietitian, Registered | 3 Horizon Rd, Great Neck, NY 11020-1143 | 2020-11-02 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1982203519 | Grace Young Ko | Dietitian, Registered | 15009 Northern Blvd Fl 4, Flushing, NY 11354-3888 | 2020-10-24 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1083213763 | Sarah Bourdet | Dietitian, Registered | 4314 60th St Apt 4b, Woodside, NY 11377-4914 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.