AUDRA JUNE TAMAYO (NPI# 1750821583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750821583 |
| Entity Type | Individual |
| Full Name | AUDRA JUNE TAMAYO |
| Credential | MS, RDN |
| Practice Address |
17 Evergreen Pl Maplewood NJ 07040-1022 |
| Practice Telephone | 9783905364 |
| Mailing Telephone | 9783905364 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
17 EVERGREEN PL |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| 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 |
|---|---|---|---|---|
| 1114564127 | Devon Murray | Dietitian, Registered | 3726 Cambridge Ave Apt 18, Maplewood, MO 63143-4022 | 2019-12-09 |
| 1114576576 | Alexandra Paetow | Dietitian, Registered | 75 Tuscan Rd, Maplewood, NJ 07040-2718 | 2019-09-09 |
| 1245728641 | Stephanie Schultz | Dietitian, Registered | 14 Burnett St, Maplewood, NJ 07040-2621 | 2018-05-01 |
| 1255837977 | Sarah Rawitzer | Dietitian, Registered | 2167 Burr St, Maplewood, MN 55117-1809 | 2018-04-02 |
| 1508307919 | Marielle Counts | Dietitian, Registered | 2000 Bellevue Ave Apt V, Maplewood, MO 63143-1336 | 2017-03-17 |
| 1033363718 | Constance Chukwuka | Dietitian, Registered | 80 Lexington Ave, Maplewood, NJ 07040-3240 | 2008-11-08 |
| 1396811816 | Lynn Kristin Munson | Dietitian, Registered | 738 Belmont Ln E, Maplewood, MN 55117-2203 | 2006-11-27 |
| 1073062824 | Ann Mulfinger | Dietitian, Registered | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-09-21 |
| 1679028617 | Alicia Luftman | Dietitian, Registered | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2016-08-19 |
| 1235515362 | Ashley Tix | Dietitian, Registered | 1655 Beam Ave Ste 302, Maplewood, MN 55109-1477 | 2015-07-30 |
| Find all providers in MAPLEWOOD | ||||
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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.