REBECCA BOOVA (NPI# 1619444577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619444577 |
Entity Type | Individual |
Full Name | REBECCA BOOVA |
Credential | RD, LDN |
Practice Address |
1644 Francis St #3 Philadelphia PA 19130 |
Practice Telephone | 3025881069 |
Mailing Telephone | 1302588106 |
Enumeration Date | 2018-10-30 |
Last Update Date | 2020-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133V00000X | Dietitian, Registered | 86048588 | PA | Dietary & Nutritional Service Providers |
Y | 133V00000X | Dietitian, Registered | DN006067 | PA | Dietary & Nutritional Service Providers |
Street Address |
1644 FRANCIS ST #3 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
1831435676 | Rachel Joy Shanok | Physical Therapist | 627-37 N. 18th St., #201, Philadelphia, PA 19130 | 2012-12-26 |
Find all providers in zip 19130 |
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 |
---|---|---|---|---|
1932716685 | Nicole Behner | Dietitian, Registered | 1824 Stanwood St, Philadelphia, PA 19152-2619 | 2020-09-28 |
1235743048 | Lauren Davidheiser | Dietitian, Registered | 2212 Almond St, Philadelphia, PA 19125-3605 | 2020-08-31 |
1730799222 | Hannah Pfohl | Dietitian, Registered | 1136 N American St Unit 114, Philadelphia, PA 19123-1677 | 2020-08-09 |
1851901771 | Laura Michelle Cresta | Dietitian, Registered | 1030 N 2nd St Unit 303, Philadelphia, PA 19123-1595 | 2020-08-05 |
1386253318 | Porrazza Nutrition LLC | Dietitian, Registered | 2417 Welsh Rd Ste 21118, Philadelphia, PA 19114-2213 | 2020-07-27 |
1326665464 | Michelle Giacometti | Dietitian, Registered | 442 Naomi St, Philadelphia, PA 19128-3618 | 2020-07-05 |
1649897026 | Jennifer Andia Warshaw | Dietitian, Registered | 408 Regatta Dr, Philadelphia, PA 19146-5247 | 2020-07-01 |
1437774890 | Kylie Anne Mckenzie | Dietitian, Registered | 800 Admirals Way Unit 1841, Philadelphia, PA 19146-5241 | 2020-06-11 |
1063049914 | Kaitlyn Marie Willwerth | Dietitian, Registered | 350 S 15th St, Philadelphia, PA 19102-4919 | 2020-03-23 |
1134751522 | Anabelle Harari Clebaner | Dietitian, Registered | 9211 Ambassador Pl Fl 2, Philadelphia, PA 19115-4610 | 2020-02-04 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19130 |
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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.