THERESA BRERETON (NPI# 1992070015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992070015 |
| Entity Type | Individual |
| Full Name | THERESA BRERETON |
| Credential | MS,RD,CDN,CDE |
| Practice Address |
6110 Queens Blvd Esprit Medical Care Woodside NY 11377-5776 |
| Mailing Address |
204 E 52nd St Brooklyn NY 11203-2404 |
| Practice Telephone | 7183972002 |
| Mailing Telephone | 7187737237 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 720882 | NY | Dietary & Nutritional Service Providers |
| Street Address |
6110 QUEENS BLVD ESPRIT MEDICAL CARE |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-5776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255395869 | Evelyn Brobbey | Nurse Practitioner | 6110 Queens Blvd, 2nd Floor, Woodside, NY 11377-5776 | 2006-04-12 |
| 1780153502 | Arial Borukhov | Pharmacist | 6110 Queens Blvd, Woodside, NY 11377-5776 | 2018-11-21 |
| 1053821926 | Marina Niyazova | Pharmacist | 6110 Queens Blvd, Woodside, NY 11377-5776 | 2017-10-05 |
| 1447795844 | Big Six Pharmacy | Pharmacy | 6110 Queens Blvd, Woodside, NY 11377 | 2016-12-21 |
| 1922459098 | Big Six Pharmacy Corp | Pharmacy | 6110 Queens Blvd, Woodside, NY 11377-5776 | 2016-06-29 |
| 1518334416 | Leslie Allison Rottenberg | Social Worker | 6110 Queens Blvd, Esprit Medical Care, Woodside, NY 11377-5776 | 2015-08-26 |
| 1619214814 | Donna E Mccabe | Registered Nurse | 6110 Queens Blvd, 2nd Floor, Woodside, NY 11377-5776 | 2013-01-08 |
| 1831479088 | Sandra Joy Nohavicka | Social Worker | 6110 Queens Blvd, Woodside, NY 11377-5776 | 2011-08-19 |
| 1699055970 | James Edward Mills | Social Worker | 6110 Queens Blvd, Woodside, NY 11377-5776 | 2011-08-18 |
| 1073816526 | Eileen Miller | Registered Nurse | 6110 Queens Blvd, Woodside, NY 11377-5776 | 2010-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| 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 |
|---|---|---|---|---|
| 1083213763 | Sarah Bourdet | Dietitian, Registered | 4314 60th St Apt 4b, Woodside, NY 11377-4914 | 2020-10-22 |
| 1477082824 | Cindy Olvina | Dietitian, Registered | 3914 63rd St, Woodside, NY 11377-3634 | 2017-06-08 |
| 1134190671 | Maria Corazon Coe | Dietitian, Registered | 4305 48th Ave, Woodside, NY 11377-6241 | 2006-02-01 |
| 1265867626 | Sheila Quickel | Dietitian, Registered | 823 Walnut Shade Road, Polytech High School Wellness Center, Woodside, DE 19980 | 2013-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1013518232 | Leslie Wayte Heineman | Dietitian, Registered | 220 Evandale Rd, Scarsdale, NY 10583-1530 | 2020-11-04 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1780285320 | Khy Ee Siew | Dietitian, Registered | 3 Horizon Rd, Great Neck, NY 11020-1143 | 2020-11-02 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1982203519 | Grace Young Ko | Dietitian, Registered | 15009 Northern Blvd Fl 4, Flushing, NY 11354-3888 | 2020-10-24 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1427657873 | Shemelkhay Murdakhayev | Dietitian, Registered | 8008 135th St Apt 219, Jamaica, NY 11435-1009 | 2020-10-17 |
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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.