TERRY PHAN (NPI# 1811087554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811087554 |
| Entity Type | Individual |
| Full Name | TERRY PHAN |
| Credential | NUTRITIONIST |
| Practice Address |
113 Holland Avenue Va Hospital Albany NY 12208 |
| Mailing Address |
113 Holland Ave Albany NY 12208-3410 |
| Practice Telephone | 5186266868 |
| Practice Fax Number | 5186265678 |
| Mailing Telephone | 5186266868 |
| Mailing Fax Number | 5186265678 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | 005564 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 005561 | 01 |
| Street Address |
113 HOLLAND AVENUE VA HOSPITAL |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639125388 | William Edward Lloyd | Surgery | 113 Holland Avenue, Albany, NY 12208 | 2006-05-25 |
| 1972945947 | United States Department of Veterans Affairs | Special Hospital | 113 Holland Avenue, Albany, NY 12208 | 2013-07-19 |
| 1174606966 | Pamela Anne Woythal | Dietitian, Registered | 113 Holland Avenue, Albany, NY 12208-3410 | 2006-10-23 |
| 1205928801 | Caroline Pangie Schwartz | Radiology | 113 Holland Avenue, Albany, NY 12208-3410 | 2006-09-29 |
| 1578674750 | Marcela Hanakova | Anesthesiology | 113 Holland Avenue, Stratton Va Medical Center, Albany, NY 12208 | 2006-08-31 |
| 1962459966 | Patricia Ann Kidder | Social Worker | 113 Holland Avenue, Albany, NY 12208 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472374 | Ashley Strong | Nutritionist | 385 S Pearl St, Albany, NY 12202-1976 | 2019-05-13 |
| 1659472736 | Michele Wilson Smith | Nutritionist | 417 W 4th Ave, Albany, GA 31701-1915 | 2006-09-25 |
| 1912362518 | Andrea Lilley | Nutritionist | 344 Fuller Rd, Albany, NY 12203-3647 | 2015-12-23 |
| 1558515296 | Katherine D Marra | Nutritionist | 47 New Scotland Ave, Mc 88, Albany, NY 12208-3412 | 2008-11-07 |
| 1437128238 | Jessica Leigh Fronczek | Nutritionist | 66 Hackett Blvd, Albany, NY 12209-1750 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850599 | Melissa Ayn Reade | Nutritionist | 143 Golf View Dr, Jericho, NY 11753-2820 | 2020-10-28 |
| 1780283077 | Jessica Michelle Coghill | Nutritionist | 439 Hicks St Apt 1c, Brooklyn, NY 11201-5930 | 2020-10-19 |
| 1225641038 | Qianhui Zhang | Nutritionist | 609 W 114th St Apt 76, New York, NY 10025-7912 | 2020-08-31 |
| 1558973156 | Multicommunity Services At 95 | Nutritionist | 1034 Rutland Rd, Brooklyn, NY 11212-2374 | 2020-08-17 |
| 1588273882 | Arbor Health Inc | Nutritionist | 613 Pittsford Victor Rd, Pittsford, NY 14534 | 2020-07-23 |
| 1982212676 | Francesca Alfano | Nutritionist | 9 Barclay Ct, East Hampton, NY 11937-3538 | 2020-07-19 |
| 1477171007 | Sun Messenger LLC | Nutritionist | 105 8th Ave Apt 4, Brooklyn, NY 11215-1503 | 2020-07-09 |
| 1275154023 | Christine Cherpak-castagna | Nutritionist | 97 Summit St Apt 2, Oyster Bay, NY 11771-2334 | 2020-05-04 |
| 1144841263 | Regina Catherine Ragone | Nutritionist | 2a Woodlawn Pl, Lynbrook, NY 11563-1422 | 2020-04-29 |
| 1922628296 | Nutrition Well, P.C. | Nutritionist | 91 Bay 31st St, Brooklyn, NY 11214-5203 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
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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.