MARIELA PEREZ RUSSO (NPI# 1811474612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811474612 |
Entity Type | Individual |
Full Name | MARIELA PEREZ RUSSO |
Credential | MD, CNS |
Practice Address |
290 Booth Hill Rd Trumbull CT 06611-4943 |
Practice Telephone | 6462559510 |
Mailing Telephone | 6462559510 |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133N00000X | Nutritionist | 1644 | CT | Dietary & Nutritional Service Providers |
Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
Street Address |
290 BOOTH HILL RD |
City | TRUMBULL |
State | CT |
Zip Code | 06611-4943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
Find all providers in zip 06611 |
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 |
---|---|---|---|---|
1205062205 | Natalie Colicci-favretto | Nutritionist | 2 Corporate Dr Ste 112, Trumbull, CT 06611-1376 | 2009-06-03 |
1114123270 | Susan M Maurer | Nutritionist | 15 Corporate Park Drive, Trumbull, CT 06611 | 2007-06-26 |
1437299492 | Gilbert M. Saltman | Nutritionist | 6 Fairchild Cir, Trumbull, CT 06611-3663 | 2007-02-07 |
1245560317 | Naturopathic Family Medicine and Nutrition Center, LLC | Nutritionist | 2 Corporate Dr Ste 112, Trumbull, CT 06611-1376 | 2010-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942801154 | Stephanie Lynn Burr | Nutritionist | 57 Van Orman St, Oakville, CT 06779-1922 | 2020-11-04 |
1629684410 | Far Rahman | Nutritionist | 386 Myrtle Ave, Bridgeport, CT 06604-5443 | 2020-09-17 |
1609499474 | Bawse Sauce LLC | Nutritionist | 43 Crescent St Ste 20, Stamford, CT 06906-1853 | 2020-05-27 |
1861027328 | Sarah Farid-chaudhry | Nutritionist | 135 Day St Ste 202, Newington, CT 06111-1244 | 2020-03-05 |
1700425915 | Kathleen M Hutter | Nutritionist | 11 Columbia Lndg, Columbia, CT 06237-1304 | 2020-01-06 |
1588226880 | Heather B Bauer | Nutritionist | 21 Bridge Sqaure, Westport, CT 06880 | 2019-07-08 |
1568021921 | Kara Ganssle Pachniuk | Nutritionist | 15 Meadowood Ln, Old Saybrook, CT 06475-1806 | 2019-06-10 |
1841858495 | Melissa Litwak | Nutritionist | 77 Fieldstone Rd, Stamford, CT 06902-2575 | 2019-05-30 |
1962066423 | Dannielle Lynn Jascot | Nutritionist | 31 Stable Ln, Middletown, CT 06457-2131 | 2019-04-30 |
1043776461 | Amy L Ashinghurst | Nutritionist | 2934 Main St Uppr Level, Glastonbury, CT 06033-1027 | 2019-02-11 |
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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.