MRS. THERESA AILEEN VIRSIK (NPI# 1043262413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043262413 |
| Entity Type | Individual |
| Full Name | MRS. THERESA AILEEN VIRSIK |
| Credential | R.D., C.D.E> |
| Practice Address |
Brevard Va Outpatient Clinic 2900 Veterans Way Melbourne FL 32940 |
| Mailing Address |
5054 Pinot St Rockledge FL 32955-5167 |
| Practice Telephone | 3216373788 |
| Practice Fax Number | 3216373648 |
| Mailing Telephone | 3214338060 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 864112 | FL | Dietary & Nutritional Service Providers |
| Street Address |
BREVARD VA OUTPATIENT CLINIC 2900 VETERANS WAY |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| 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 |
|---|---|---|---|---|
| 1245852094 | Holly Brennan | Dietitian, Registered | 3506 Peninsula Cir, Melbourne, FL 32940-1111 | 2020-05-15 |
| 1902348212 | Yanira Holguin | Dietitian, Registered | 3167 Constellation Dr, Melbourne, FL 32940-2363 | 2016-11-17 |
| 1285664342 | Kelly C Aleman | Dietitian, Registered | 1223 Gateway Dr # 1f, Melbourne, FL 32901-2607 | 2006-07-04 |
| 1316565492 | Megan Bellinger | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-07-06 |
| 1255960084 | Beth S Morlang | Dietitian, Registered | 21 W Fee Ave Ste C, Melbourne, FL 32901-4476 | 2020-04-03 |
| 1801353495 | Tristan Soyka | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-03-01 |
| 1659896850 | Kelly Anne Freno | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2017-08-08 |
| 1841600541 | Janet Carman | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-05-02 |
| 1861784217 | Leslie Reid Iodice | Dietitian, Registered | 2092 Sarno Rd, Melbourne, FL 32935-3077 | 2011-05-04 |
| 1508012626 | Elizabeth Wyman Chrencik | Dietitian, Registered | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2008-08-08 |
| Find all providers in MELBOURNE | ||||
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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.