MS. MARILYNN C KSIAZEK (NPI# 1689766156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689766156 |
| Entity Type | Individual |
| Full Name | MS. MARILYNN C KSIAZEK |
| Credential | MS RD CDE LDN |
| Practice Address |
313 E Drinker St Dunmore PA 18512-2408 |
| Practice Telephone | 5703477127 |
| Practice Fax Number | 5703471831 |
| Mailing Telephone | 5703477127 |
| Mailing Fax Number | 5703471831 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN000291 | PA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 0538494 | 01 | |
| PA | 0077712630002 | 05 | |
| PA | FIRST PRIORITY HEALTH | 816479 | 01 |
| PA | HIGHMARK BS | KS1789844 | 01 |
| Street Address |
313 E DRINKER ST |
| City | DUNMORE |
| State | PA |
| Zip Code | 18512-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720381908 | Nutrition Counseling Services Inc | Dietitian, Registered | 313 E Drinker St, Dunmore, PA 18512-2408 | 2010-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1588175814 | Young Men's Christian Association of Greater Scranton | Health Educator | 706 North Blakely Street, Dunmore, PA 18512 | 2017-10-13 |
| 1033633763 | Kaitlyn Elizabeth Sledzinski | Occupational Therapist | 1000 Mill St., Dunmore, PA 18512 | 2017-08-03 |
| 1417366170 | Kristen Marie Miller | Social Worker | 502 North Blakely Street, Dunmore, PA 18512 | 2014-08-07 |
| 1689923799 | John Charles White | Social Worker | 502 Blakely St., Dunmore, PA 18512 | 2012-09-05 |
| 1043465594 | Anthony Harry Funaro | Radiology | 201 S. Blakely Street, Pmb - 197, Dunmore, PA 18512 | 2008-11-25 |
| 1932387602 | Maureen Judith Rebar | Social Worker | 32 Emerald Dr, Throop, PA 18512 | 2008-02-05 |
| 1316006398 | Frank Richard Padula | Dentist | 320 W Drinker St, Dunmore, PA 18512 | 2006-12-06 |
| 1366516163 | Peter W Shorten | Chiropractor | 115 W Drinker St, Dunmore, PA 18512 | 2006-11-20 |
| 1164592853 | Patricia Sweeney | Nurse Practitioner | 1208 O'neil Highway, Dunmore, PA 18512 | 2006-11-09 |
| Find all providers in zip 18512 | ||||
| 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 |
|---|---|---|---|---|
| 1700225984 | Kathryn Louise Tullio | Dietitian, Registered | 706 N Blakely St, Dunmore, PA 18512-1937 | 2013-06-20 |
| 1568874113 | Nepa Nutrition and Personal Training Service LLC. | Dietitian, Registered | 414 E Drinker St, Suite 102, Dunmore, PA 18512-2469 | 2014-05-29 |
| 1528489861 | Greater Scranton Ymca | Dietitian, Registered | 706 N Blakely St, Dunmore, PA 18512-1937 | 2014-01-03 |
| 1720381908 | Nutrition Counseling Services Inc | Dietitian, Registered | 313 E Drinker St, Dunmore, PA 18512-2408 | 2010-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417593 | April Christine Hawkins | Dietitian, Registered | 408 Blacklatch Ln, Camp Hill, PA 17011-8414 | 2020-11-03 |
| 1184225757 | Aleaha Lynn Wacker | Dietitian, Registered | 95 Rocky View Dr, Hawley, PA 18428-4535 | 2020-11-02 |
| 1518568088 | Laura Rose Alfieri | Dietitian, Registered | 850 E Water Street Ext, Smethport, PA 16749-2024 | 2020-11-02 |
| 1679174122 | Erika Marie Johnson | Dietitian, Registered | 1111 Franklin St Ste 180, Johnstown, PA 15905-4341 | 2020-11-02 |
| 1184224206 | Madison Demoss | Dietitian, Registered | 43 Brinker Dr, Doylestown, PA 18901-7008 | 2020-10-28 |
| 1124628201 | Shannon Lynch | Dietitian, Registered | 8 E Pine St Apt 1, Enola, PA 17025-2827 | 2020-10-28 |
| 1205434818 | Shannan Marie Stewart | Dietitian, Registered | 770 Miles Rd Ste 1, West Chester, PA 19380-1950 | 2020-10-15 |
| 1992303135 | Sneha Lakhotia | Dietitian, Registered | 200 Possum Way, Clarks Green, PA 18411-8988 | 2020-10-10 |
| 1407453210 | Susan Anne Zikos | Dietitian, Registered | 229 Edelweiss Dr, Wexford, PA 15090-9454 | 2020-10-05 |
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
| 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.