MRS. LAVANYA KETHAMUKKALA (NPI# 1952456600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952456600 |
| Entity Type | Individual |
| Full Name | MRS. LAVANYA KETHAMUKKALA |
| Credential | R.D |
| Practice Address |
3508 Lily Orchard Way Apex NC 27539-9601 |
| Practice Telephone | (919) 342-6179 |
| Practice Fax Number | 9193425871 |
| Mailing Telephone | (919) 342-6179 |
| Mailing Fax Number | 9193425871 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L004157 | NC | Dietary & Nutritional Service Providers |
| Street Address |
3508 LILY ORCHARD WAY |
| City | APEX |
| State | NC |
| Zip Code | 27539-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578967709 | Cora Hietpas | Marriage & Family Therapist | 9204 Eisenhower Dr., #200, Apex, NC 27539 | 2014-10-17 |
| 1003221540 | Connie X Feng | Dentist | 9776 Holly Springs Rd, Apex, NC 27539 | 2014-06-24 |
| 1801222153 | Iara Oliveira Paz | Counselor | 8825 Forester Lane, Apex, NC 27539 | 2013-09-18 |
| 1003156670 | Neighborhood Urgent Care Pllc | Internal Medicine | 9764 Holly Springs Rd, Apex, NC 27539 | 2013-02-19 |
| 1841328150 | Patricia A Horan | Occupational Therapist | 8021 Deer Meadow Drive, Apex, NC 27539 | 2007-02-28 |
| 1427197227 | Margot Ann Holloman | Psychologist | 8936 Willow Trace Ct, Apex, NC 27539 | 2007-02-06 |
| 1215091277 | Erin C Blankenship | Physical Therapist | 8731 Holly Springs Road, Thrive Physical Therapy, LLC, Cary, NC 27539 | 2006-12-21 |
| 1730624271 | Connie Feng, Dds, Pllc | Dentist | 9776 Holly Springs Rd, Apex, NC 27539 | 2016-12-19 |
| 1013266733 | Maricela E Caceres | Developmental Therapist | 2908 Concerto Ct, Apex, NC 27539 | 2012-09-10 |
| 1982877965 | Stephanie Miller-cook | Speech-Language Pathologist | 2908 Concerto Court, Apex, NC 27539-3611 | 2008-04-10 |
| Find all providers in zip 27539 | ||||
| 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 |
|---|---|---|---|---|
| 1508481581 | Priyanka Santhanakrishnan | Dietitian, Registered | 420 Shatilla Ln, Apex, NC 27523-7158 | 2020-06-15 |
| 1760959571 | Meredith Magnini | Dietitian, Registered | 1200 Garden Gate Pl, Apex, NC 27502-6737 | 2018-10-30 |
| 1003143777 | Charlotte Bell Jackson | Dietitian, Registered | 911 South Hughes Street, Apex, NC 27502-7731 | 2009-11-17 |
| 1306969290 | Personalized Nutrition, Inc. | Dietitian, Registered | 307 S Salem St, Suite 302, Apex, NC 27502-1845 | 2007-04-08 |
| 1710033444 | Davis E Nolan | Dietitian, Registered | 307 S Salem St Ste 302, Apex, NC 27502-1845 | 2007-01-26 |
| 1518905280 | Dawn M Mcmillian | Dietitian, Registered | 106 Eldon Ln, Apex, NC 27502-4704 | 2006-06-03 |
| 1497103873 | Erin Decker | Dietitian, Registered | 1801 Olive Chapel Rd, Suite 107, Apex, NC 27502-8586 | 2016-05-26 |
| 1538405154 | Ann Elizabeth Blankenship Clark | Dietitian, Registered | 1031 W Williams St, Apex, NC 27502-3955 | 2012-12-31 |
| 1578819041 | Nicole Marie Matala | Dietitian, Registered | 212 S Salem St, Apex, NC 27502-1825 | 2012-08-01 |
| 1841568581 | Katherine Lambeth Zavodni | Dietitian, Registered | 307 S Salem St, Apex, NC 27502-1845 | 2011-12-08 |
| Find all providers in APEX | ||||
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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.