CORAL C CLARKE (NPI# 1508376526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508376526 |
| Entity Type | Individual |
| Full Name | CORAL C CLARKE |
| Credential | RDN |
| Practice Address |
73 Center St Apt 3 East Aurora NY 14052-2265 |
| Practice Telephone | 7164642508 |
| Practice Fax Number | 7163042508 |
| Mailing Telephone | 7164642508 |
| Mailing Fax Number | 7163042508 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86065331 | NY | Dietary & Nutritional Service Providers |
| Street Address |
73 CENTER ST APT 3 |
| City | EAST AURORA |
| State | NY |
| Zip Code | 14052-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457806960 | Hannah Howard | Case Manager/Care Coordinator | 1268 Blakeley Corners Road, East Aurora, NY 14052 | 2016-08-25 |
| 1982046462 | Susan Lynn Bryant | Specialist/Technologist | 12709 Williston Road, East Aurora, NY 14052 | 2013-07-24 |
| 1265785240 | Diana Wittrock | Licensed Practical Nurse | 1080 N Davis Rd, East Aurora, NY 14052 | 2012-10-16 |
| 1437468162 | Gerard Earlwyn Schultz | Family Medicine | 351 Girdle Rd., East Aurora, NY 14052 | 2010-09-29 |
| 1386969541 | Frederick Carl Nuessle | Family Medicine | 38 Elm St., East Aurora, NY 14052 | 2010-03-31 |
| 1730301409 | Alysia Theresa Plewa | Massage Therapist | 90 Hamburg Street, Massage Works, East Aurora, NY 14052 | 2007-05-03 |
| 1982823647 | Hope C Rogers | Massage Therapist | 90 Hamburg St, Massage Works, East Aurora, NY 14052 | 2007-04-24 |
| 1235256413 | Robert R Meisner | Dentist | 250 Quaker Rd, East Aurora, NY 14052 | 2007-03-23 |
| 1578601589 | Michelle M. Myka | Massage Therapist | 552 Linden Street, East Aurora, NY 14052 | 2007-02-02 |
| 1689754525 | Westermeier & Martin Dental Care Pllc | Dentist | 950 East Main Street, East Aurora, NY 14052 | 2006-10-16 |
| Find all providers in zip 14052 | ||||
| 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 |
|---|---|---|---|---|
| 1548775034 | Tara Felser | Dietitian, Registered | 174 Main St # 115, East Aurora, NY 14052-1633 | 2017-12-06 |
| 1942616867 | Wendy Scime | Dietitian, Registered | 45 Paine St, East Aurora, NY 14052-2356 | 2014-07-11 |
| 1861768764 | Shannon Kamm | Dietitian, Registered | 574 Main St Ste 203, East Aurora, NY 14052-1751 | 2012-03-26 |
| 1679812663 | Moreen N Nickerson | Dietitian, Registered | 574 Main St, Suite 203, East Aurora, NY 14052-1751 | 2013-02-11 |
| 1619213006 | Rachel Mcness | Dietitian, Registered | 574 Main St, Suite 203, East Aurora, NY 14052-1751 | 2012-12-12 |
| 1134478894 | Danielle Nicole Wright | Dietitian, Registered | 574 Main St, Suite 203, East Aurora, NY 14052-1751 | 2012-09-09 |
| 1760758908 | Dawn Elizabeth Fronczek | Dietitian, Registered | 574 Main St, Suite 203, East Aurora, NY 14052-1751 | 2012-03-31 |
| 1578840450 | Blue Circle Dietetics & Nutrition PC | Dietitian, Registered | 574 Main St, Suite 203, East Aurora, NY 14052-1751 | 2011-11-07 |
| 1093939480 | Jeffrey C Ensminger | Dietitian, Registered | 574 Main St, Suite 203, East Aurora, NY 14052-1751 | 2007-04-13 |
| 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 | ||||
| City | EAST AURORA |
| Zip Code | 14052 |
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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.