MARTHA PETTEY VATTEROTT (NPI# 1982755336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982755336 |
| Entity Type | Individual |
| Full Name | MARTHA PETTEY VATTEROTT |
| Practice Address |
1129 Macklind Ave Saint Louis MO 63110-1440 |
| Practice Telephone | 3145340200 |
| Practice Fax Number | 3145347996 |
| Mailing Telephone | 3145340200 |
| Mailing Fax Number | 3145347996 |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | MO | Dietary & Nutritional Service Providers |
| Street Address |
1129 MACKLIND AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487732335 | St. Louis Behavioral Medicine Institute Inc | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2006-11-01 |
| 1134746712 | Carolyn Lee | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2020-06-30 |
| 1760034276 | Emily R Gorzalski | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2019-07-15 |
| 1992213326 | Alison R Menatti | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2018-01-19 |
| 1790237220 | Sandra Rose Price | Social Worker | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2016-11-01 |
| 1295103216 | Jessica Polson | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2015-09-08 |
| 1841667029 | Kaylie Thomas Allen | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110 | 2015-08-24 |
| 1770963407 | Jessica Gerfen | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2015-06-08 |
| 1992114417 | Camille Randall | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2014-08-08 |
| 1487093092 | Kerrie Armstrong | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| 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 |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1063025153 | Macia Noorman | Dietitian, Registered | 2336 S Grand Blvd, Saint Louis, MO 63104-1755 | 2020-08-28 |
| 1447863865 | Serena E Mcphail | Dietitian, Registered | 3959a Potomac St, Saint Louis, MO 63116-3703 | 2020-08-25 |
| 1700496486 | Jennifer Ann Stripling | Dietitian, Registered | 12417 Dunedin Ln Apt 101, Saint Louis, MO 63146-2823 | 2020-08-06 |
| 1528677119 | Colleen E Madden | Dietitian, Registered | 5528 Pershing Ave Apt 205, Saint Louis, MO 63112-1769 | 2020-07-29 |
| 1043836315 | Abigail Debera Hallmark | Dietitian, Registered | 3510 Wyoming St Apt A, Saint Louis, MO 63118-2021 | 2020-06-22 |
| 1275163511 | Laura M Cusumano | Dietitian, Registered | 32 Oak Park Dr, Saint Louis, MO 63141-8428 | 2020-01-24 |
| 1689216871 | Healthy Bytes Solutions LLC | Dietitian, Registered | 20 S Sarah St, Saint Louis, MO 63108-2819 | 2019-10-09 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.