LYDIA P. GENOVESE (NPI# 1760682959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760682959 |
| Entity Type | Individual |
| Full Name | LYDIA P. GENOVESE |
| Credential | R.D. |
| Practice Address |
12964 W Fossil Dr Peoria AZ 85383-5176 |
| Practice Telephone | 3176943986 |
| Practice Fax Number | 7656758257 |
| Mailing Telephone | 3176943986 |
| Mailing Fax Number | 3176302478 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | 37001065A | IN | Dietary & Nutritional Service Providers |
| Street Address |
12964 W FOSSIL DR |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| 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 |
|---|---|---|---|---|
| 1255950366 | Colleen Hamilton | Dietitian, Registered | 1109 W Sleepy Hollow Ct, Peoria, IL 61615-1101 | 2020-04-09 |
| 1518328665 | Jenna Bishop | Dietitian, Registered | 600 Ne Water Street, Peoria, IL 61637 | 2016-03-17 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| 1437536984 | Ashley Thomas | Dietitian, Registered | 1609 W Moss Ave, Peoria, IL 61606-1642 | 2015-05-05 |
| 1205228558 | Ana Cristina Schallhorn | Dietitian, Registered | 4813 N Glen Ct, Peoria, IL 61614-4644 | 2015-02-24 |
| 1164844262 | Kelsey Knott | Dietitian, Registered | 4125 N Sheridan Rd Ste 20, Peoria, IL 61614-7174 | 2014-01-09 |
| 1285078931 | Marilyn Bukoff Priddy | Dietitian, Registered | 1617 W Devereux Dr, Peoria, IL 61614-4009 | 2013-04-24 |
| 1992061998 | Mayuri Rangdal | Dietitian, Registered | 2640 W Stonehenge Ct, Peoria, IL 61615-7477 | 2012-04-04 |
| 1851692123 | Lauren Ashley Rusk | Dietitian, Registered | 9900 N Dalea Ln, 9212, Peoria, IL 61615-7268 | 2010-11-03 |
| Find all providers in PEORIA | ||||
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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.