KRISTINE ANN VAN WORKUM (NPI# 1689780181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689780181 |
| Entity Type | Individual |
| Full Name | KRISTINE ANN VAN WORKUM |
| Credential | RD, LDN |
| Practice Address |
1223 Gateway Dr Ste 2b Melbourne FL 32901-2607 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3217254500 |
| Practice Fax Number | 3217270975 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND 5470 | FL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL MEDICARE | IK418Z | 01 |
| FL | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8725 N Wickham Rd Ste 302, Melbourne, FL 329402240 | 3214349230 | 3214349231 |
| Street Address |
1223 GATEWAY DR STE 2B |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114917655 | Charles A Farrington | Internal Medicine | 1223 Gateway Dr Ste 2b, Melbourne, FL 32901-2607 | 2005-10-26 |
| 1629413042 | Mohamad Hammoud | Surgery | 1223 Gateway Dr Ste 2b, Melbourne, FL 32901-2607 | 2013-04-30 |
| 1972837243 | Farhan Israr | Internal Medicine | 1223 Gateway Dr Ste 2b, Melbourne, FL 32901-2607 | 2009-09-18 |
| 1114975349 | Anil K Singh | Internal Medicine | 1223 Gateway Dr Ste 2b, Melbourne, FL 32901-2607 | 2006-05-04 |
| 1508820291 | Jeremy Saul Weinberger | Surgery | 1223 Gateway Dr Ste 2b, Melbourne, FL 32901-2607 | 2006-04-12 |
| 1598740037 | Andrew D Schmidt | Internal Medicine | 1223 Gateway Dr Ste 2b, Melbourne, FL 32901-2607 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1245852094 | Holly Brennan | Dietitian, Registered | 3506 Peninsula Cir, Melbourne, FL 32940-1111 | 2020-05-15 |
| 1902348212 | Yanira Holguin | Dietitian, Registered | 3167 Constellation Dr, Melbourne, FL 32940-2363 | 2016-11-17 |
| 1285664342 | Kelly C Aleman | Dietitian, Registered | 1223 Gateway Dr # 1f, Melbourne, FL 32901-2607 | 2006-07-04 |
| 1043262413 | Theresa Aileen Virsik | Dietitian, Registered | Brevard Va Outpatient Clinic, 2900 Veterans Way, Melbourne, FL 32940 | 2006-05-16 |
| 1316565492 | Megan Bellinger | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-07-06 |
| 1255960084 | Beth S Morlang | Dietitian, Registered | 21 W Fee Ave Ste C, Melbourne, FL 32901-4476 | 2020-04-03 |
| 1801353495 | Tristan Soyka | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-03-01 |
| 1659896850 | Kelly Anne Freno | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2017-08-08 |
| 1841600541 | Janet Carman | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-05-02 |
| 1861784217 | Leslie Reid Iodice | Dietitian, Registered | 2092 Sarno Rd, Melbourne, FL 32935-3077 | 2011-05-04 |
| Find all providers in MELBOURNE | ||||
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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.