MS. CHAUNTELLE GISELE JACK-ROBERTS (NPI# 1821608175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821608175 |
| Entity Type | Individual |
| Full Name | MS. CHAUNTELLE GISELE JACK-ROBERTS |
| Credential | RDN |
| Practice Address |
4922 Lasalle Rd Hyattsville MD 20782-3302 |
| Mailing Address |
11215 Oak Leaf Dr Apt 1118 Silver Spring MD 20901-1374 |
| Practice Telephone | 3018642333 |
| Mailing Telephone | 3474209412 |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2020-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DX5008 | MD | Dietary & Nutritional Service Providers |
| Street Address |
4922 LASALLE RD |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20782-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035058 | Heritage Care Inc | Skilled Nursing Facility | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2005-07-07 |
| 1841757895 | Amruta Pradeep Thatte | Physical Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2019-02-26 |
| 1336656487 | Physician's Mobile X-ray, Inc | Radiology | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2018-01-10 |
| 1831606011 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2018-01-09 |
| 1497269336 | Wye Oak Healthcare Wellness LLC | Internal Medicine | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-11-30 |
| 1851815534 | Wye Oak Healthcare of Hyattsville, LLC | Occupational Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-08-03 |
| 1932623725 | Santosh Ramesh Babu Sintre | Occupational Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-08-02 |
| 1487175998 | Wye Oak Healthcare of Hyattsville, LLC | Skilled Nursing Facility | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-07-06 |
| 1942739966 | Geraldine Anne Pasigan Soliven | Physical Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-06-05 |
| 1629503826 | Marwin Pascua | Physical Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712254 | Covenant Cosmetic & Wellness Center | Clinic/Center | 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 | 2020-08-26 |
| 1174146807 | Scort Achah | Home Health Aide | 2572 Queens Chapel Road, #4, Hyattsville, MD 20782 | 2020-05-28 |
| 1679130215 | Kla Vision, P.C. | Optometrist | 3500 East-west Highway, Hyattsville, MD 20782 | 2019-05-20 |
| 1417431677 | Visurraga Enterprises LLC | Nurse Anesthetist, Certified Registered | 4112 E West Hwy, Hyattsville, MD 20782 | 2018-09-24 |
| 1134605876 | Melinda Merricks | Behavioral Analyst | 5901 31st Ave, Apt. 203, Hyattsville, MD 20782 | 2018-07-16 |
| 1457849093 | Prince George's County Health Department | Clinic/Center | 7000 Adelphi Road, Hyattsville, MD 20782 | 2018-04-30 |
| 1922527134 | Amenan Marie Paule Yao | Home Health Aide | 7009 Highview Ter Apt 202, Hyattsville, MD 20782 | 2017-09-19 |
| 1558886358 | Emilia Domingez De Urena | Home Health Aide | 6700 Belcrest Road, Hyattsville, MD 20782 | 2017-08-14 |
| 1184176851 | Prince George's Hospital Center | Student in an Organized Health Care Education/Training Program | 3500 Dean Drive, Apt K3, Hyattsville, MD 20782 | 2016-10-28 |
| 1992257927 | Johanna Arias-bonilla | Social Worker | 2970 Belcrest Center Drive Unit 301, Hyattsville, MD 20782 | 2016-10-25 |
| Find all providers in zip 20782 | ||||
| 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 |
|---|---|---|---|---|
| 1720696206 | Melani Ranjitha Dhason | Dietitian, Registered | 4301 Garden City Dr Ste 304, Hyattsville, MD 20785-2210 | 2020-07-21 |
| 1750729703 | Jeffrey Earl Brown Jr. | Dietitian, Registered | 6506 America Blvd, Unit 605, Hyattsville, MD 20782-2091 | 2013-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609791 | Emily Chapman | Dietitian, Registered | 8901 Rockville Pike Rm 348, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1629679436 | Anna Carey Smith | Dietitian, Registered | 8901 Rockville Pike Rm 3103, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1124629761 | Chantelle A Raines | Dietitian, Registered | 4560 Crain Hwy Ste 1, White Plains, MD 20695-3084 | 2020-11-02 |
| 1295336881 | Luminita Alina Bota | Dietitian, Registered | 4560 Crain Hwy Ste 101, White Plains, MD 20695-3084 | 2020-11-02 |
| 1174123962 | Rachel Coury | Dietitian, Registered | 539 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-29 |
| 1699373761 | Bailey Elizabeth Saneman | Dietitian, Registered | 2102 Wiley Rd, Jarrettsville, MD 21084-1801 | 2020-10-12 |
| 1770180176 | Nu Flora LLC | Dietitian, Registered | 10904 Gunpowder Dr, Fort Washington, MD 20744-4155 | 2020-10-08 |
| 1407453228 | Caroline Pearson Tussing | Dietitian, Registered | 11237 Greenspring Ave, Lutherville Timonium, MD 21093-3510 | 2020-10-05 |
| 1568069557 | Huong Nguyen | Dietitian, Registered | 2262 Audrey Manor Ct, Waldorf, MD 20603-4918 | 2020-10-03 |
| 1316544562 | Paige Kalyani | Dietitian, Registered | 118 E Oak Ridge Dr Ste 1100, Hagerstown, MD 21740-7793 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | HYATTSVILLE |
| Zip Code | 20782 |
Please comment or provide details below to improve the information on MS. CHAUNTELLE GISELE JACK-ROBERTS.
| 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.