NICOLETTE DAVILA (NPI# 1922519503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922519503 |
| Entity Type | Individual |
| Full Name | NICOLETTE DAVILA |
| Credential | RDN |
| Practice Address |
365 E Main St Patchogue NY 11772-3145 |
| Mailing Address |
P.o. Box 5036 White Plains NY 10602-5036 |
| Practice Telephone | 6318662030 |
| Practice Fax Number | 6318662033 |
| Mailing Telephone | 9147348858 |
| Mailing Fax Number | 9147348786 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | 008301 | NY | Dietary & Nutritional Service Providers |
| Street Address |
365 E MAIN ST |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492545 | Bernice Bouzy | Nurse Practitioner | 365 E Main St, Patchogue, NY 11772-3145 | 2018-10-01 |
| 1154817153 | Adriana Coico | Physician Assistant | 365 E Main St, Patchogue, NY 11772 | 2018-07-03 |
| 1154818813 | Regina M Pfeifer | Registered Nurse | 365 E Main St, Patchogue, NY 11772-3145 | 2018-04-18 |
| 1508261892 | Hudson River Healthcare, Inc. | Case Management | 365 E Main St, Patchogue, NY 11772-3145 | 2014-10-29 |
| 1366877797 | Marie C. Patton | Registered Nurse | 365 E Main St, Patchogue, NY 11772-3145 | 2013-09-04 |
| 1124309174 | Silvia Adaljisa Diaz | Registered Nurse | 365 E Main St, Patchogue, NY 11772-3145 | 2011-09-05 |
| 1255639670 | Lauren Rothman | Social Worker | 365 E Main St, Patchogue, NY 11772-3145 | 2011-03-09 |
| 1316188022 | Pedram Samghabadi | Social Worker | 365 E Main St, Patchogue, NY 11772-3145 | 2009-03-11 |
| 1902058464 | Christine Brzeski | Counselor | 365 E Main St, Patchogue, NY 11772-3145 | 2008-10-16 |
| 1194903989 | Joan Miller | Counselor | 365 E Main St, Patchogue, NY 11772-3145 | 2008-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| 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 |
|---|---|---|---|---|
| 1710406921 | Jacqueline M Iannone | Dietitian, Registered | 128 N Ocean Ave Unit A, Patchogue, NY 11772-2020 | 2017-09-19 |
| 1073556460 | Maria Puangco Curcio | Dietitian, Registered | 109 West Main Street, Hemodialysis, Patchogue, NY 11772 | 2006-06-14 |
| 1558858670 | The Rite Bite Nutrition Counseling, Pllc | Dietitian, Registered | 128 N Ocean Ave Unit A, Patchogue, NY 11772-2020 | 2018-04-13 |
| 1790211068 | Cherub Beth Barbaro | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2017-05-05 |
| 1104280395 | Mary C Cooke | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2016-04-13 |
| 1376865360 | Eat Well Live Well Inc | Dietitian, Registered | 200 E Main St, Patchogue, NY 11772-3159 | 2010-02-18 |
| 1710119433 | Jill Marie Ferrara | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2009-08-13 |
| 1114179546 | Anne Hawkins | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2008-10-16 |
| 1831376250 | Michele Paula Lubin | Dietitian, Registered | 157 E Woodside Ave, Patchogue, NY 11772-1423 | 2008-01-28 |
| 1295857514 | Rama Rajagopalan | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2007-04-06 |
| Find all providers in PATCHOGUE | ||||
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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.