MS. JO ANN MARIE MALLO (NPI# 1710141890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710141890 |
| Entity Type | Individual |
| Full Name | MS. JO ANN MARIE MALLO |
| Credential | MS RD CDN |
| Practice Address |
452 White Haven Rd Grand Island NY 14072 |
| Mailing Address |
452 Whitehaven Rd Grand Island NY 14072 |
| Practice Telephone | 7167733309 |
| Mailing Telephone | 7167733309 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 209919 | IL | Dietary & Nutritional Service Providers |
| Street Address |
452 WHITE HAVEN RD |
| City | GRAND ISLAND |
| State | NY |
| Zip Code | 14072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183287 | Bodyworksolutions LLC | Physical Therapist | 2099 Grand Island Blvd., Ste B, Grand Island, NY 14072 | 2019-09-12 |
| 1134685084 | Dr. Cassata Eye Care Optometrist, P.C. | Optometrist | 1780 Grand Island Blvd, Grand Island, NY 14072 | 2019-02-15 |
| 1487122875 | Kimberley Catherine Banas | Licensed Practical Nurse | 552 East River Rd, Grand Island, NY 14072 | 2018-11-05 |
| 1538667910 | Lauren Jane Fonte | Specialist | 218 Woodstream Drive, Grand Island, NY 14072 | 2018-01-31 |
| 1750806279 | Susan Ruth Spiesz | In Home Supportive Care | 2970 Sunset Drive, Grand Island, NY 14072 | 2017-08-04 |
| 1265894307 | Corey Yamamura | Case Manager/Care Coordinator | Baseline Rd., Grand Island, NY 14072 | 2016-03-28 |
| 1174890941 | Kristine Ann Taylor | Speech-Language Pathologist | 1100 Ransom Road, Grand Island Central School District, Grand Island, NY 14072 | 2011-11-22 |
| 1972782720 | Jeanne Quintern | Pharmacist | 2325 Grand Island Blvd, Grand Island, NY 14072 | 2007-10-29 |
| 1689894909 | Island Prescription Center,llc | Pharmacy | 1728 Grand Island Blvd, Grand Island, NY 14072 | 2007-04-27 |
| 1164641429 | William Grant Hennigar Jr. | Dentist | 2025 Whitehaven Rd, Grand Island, NY 14072 | 2007-04-25 |
| Find all providers in zip 14072 | ||||
| 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 |
|---|---|---|---|---|
| 1508383027 | Amy J Walker | Dietitian, Registered | 2201 N Broadwell Ave Bldg 4, Grand Island, NE 68803-2153 | 2017-08-25 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1407220387 | Hollis Ann Busch | Dietitian, Registered | 1029 W River Rd, Grand Island, NY 14072-2422 | 2015-11-16 |
| 1962884759 | Tara Neighbors | Dietitian, Registered | 115 Wilmar Ave, Grand Island, NE 68803-3547 | 2015-06-29 |
| 1588906135 | Shannon Frink | Dietitian, Registered | 115 Wilmar Ave, Grand Island, NE 68803-3547 | 2013-03-21 |
| 1184980732 | Doreen Hope Foland | Dietitian, Registered | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2012-04-09 |
| 1750681870 | Department of Veteran Affairsnebraska Western Iowa Health Care System | Dietitian, Registered | 2201 North Broadwell Avenue, Grand Island, NE 68803 | 2010-10-22 |
| 1336339761 | Heather Rene' Siemers | Dietitian, Registered | 2201 N Broadwell Ave, Grand Island, NE 68803-2153 | 2007-08-01 |
| 1215137211 | Brooke Lee Trimble | Dietitian, Registered | 2620 W Faidley Ave, Grand Island, NE 68802-9804 | 2007-07-19 |
| 1366529059 | Heather Peterson | Dietitian, Registered | 2116 W Faidley Ave, Grand Island, NE 68803-4645 | 2006-11-01 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 14072 |
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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.