MRS. PATRICIA RUSSELL (NPI# 1750595724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750595724 |
Entity Type | Individual |
Full Name | MRS. PATRICIA RUSSELL |
Credential | RD, CDN |
Practice Address |
288 Sherman Ave Hawthorne NY 10532-1912 |
Practice Telephone | 9147471397 |
Mailing Telephone | 9147471397 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 002403 | NY | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NY STATE DIETETIC LICENSE | 002403 | 01 |
NY | ADA DIETETIC REGISTRATION | 596830 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740728666 | Patricia Anne Russell | Registered Nurse | 19523 Hilltop Trl, Warrenton, MO 63383-4531 | 2017-02-11 |
1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
1265748826 | Patricia Lynn Russell | Nurse Practitioner | 6500 University Ave, Suite 100, Des Moines, IA 50324-1607 | 2010-08-20 |
1831401504 | Patricia J Russell | Counselor | 36 Tanner St Ste 120, Haddonfield, NJ 08033-2494 | 2010-07-09 |
1174620280 | Patricia Ellen Russell | Counselor | 924 Farmington Ave, Suite 204, West Hartford, CT 06107-2217 | 2006-09-20 |
1306296892 | Patricia Russell | Registered Nurse | 575 Alberta Dr, Amherst, NY 14226-1139 | 2016-06-15 |
1710377635 | Patricia Russell | Pharmacy Technician | 148 John Hunn Brown Rd, Dover, DE 19901-4708 | 2015-01-30 |
1780026302 | Patricia Ann Russell | Registered Nurse | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2013-07-24 |
1477729507 | Patricia Lynn Russell | Internal Medicine | 420 William St, Suite 1001, River Forest, IL 60305-1920 | 2008-05-08 |
1881807840 | Patricia Ellen Russell | Physical Therapy Assistant | 251 Landis Ave. Suite 201, Chula Vista, CA 91910 | 2007-05-07 |
Street Address |
288 SHERMAN AVE |
City | HAWTHORNE |
State | NY |
Zip Code | 10532-1912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
Find all providers in zip 10532 |
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 |
---|---|---|---|---|
1043830755 | Denise Barry-alvey | Dietitian, Registered | 5418 W 123rd St, Hawthorne, CA 90250-3423 | 2020-04-22 |
1770010985 | Jacquelyn Beth Thym | Dietitian, Registered | Po Box 1510, Hawthorne, NV 89415-1510 | 2017-05-18 |
1184094195 | Alyson Denise Flaker | Dietitian, Registered | 43 Bamford Ave, Hawthorne, NJ 07506-2902 | 2015-10-02 |
1780072702 | North Jersey Nutrition and Wellness | Dietitian, Registered | 121 Mckinley Ave, Hawthorne, NJ 07506-2938 | 2014-12-29 |
1225437429 | Andrea Gonzales | Dietitian, Registered | 4627 W 130th St, Hawthorne, CA 90250-5146 | 2014-08-14 |
1518381169 | Melissa Ann Kessler | Dietitian, Registered | 19 Bradhurst Ave Ste 1700, Hawthorne, NY 10532-2139 | 2014-02-18 |
1124258181 | Jeanne Hall | Dietitian, Registered | 399 Connelly, Hawthorne, NV 89415 | 2009-07-23 |
1053316539 | Kusum L Kansal | Dietitian, Registered | 332 Lafayette Ave, Hawthorne, NJ 07506-2506 | 2005-06-20 |
1194368472 | Susan Eleanora Russo | Dietitian, Registered | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2019-10-19 |
1831564616 | Diane Lindsay-adler | Dietitian, Registered | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2015-12-05 |
Find all providers in HAWTHORNE |
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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.