MIRELIS BETANCES (NPI# 1043705635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043705635 |
| Entity Type | Individual |
| Full Name | MIRELIS BETANCES |
| Credential | RDN |
| Practice Address |
1000 Eddy St Providence RI 02905-4739 |
| Practice Telephone | 4015339100 |
| Practice Fax Number | 4015339105 |
| Mailing Telephone | 4015339100 |
| Mailing Fax Number | 4015339105 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LDN00850 | RI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | ES01788 | 05 | |
| RI | NEIGHBORHOOD HEALTH | 0614 | 01 |
| RI | BLUE CROSS | SB870 | 01 |
| Street Address |
1000 EDDY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215967591 | Kelly C Mayer | Occupational Therapist | 1000 Eddy St, Providence, RI 02905-4739 | 2006-07-03 |
| 1093349672 | Amanda Sullivan | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2020-02-24 |
| 1093352213 | Atrik M Pineda | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-12-06 |
| 1396380853 | Jennifer Wright | Occupational Therapist | 1000 Eddy St, Providence, RI 02905-4739 | 2019-11-08 |
| 1730723529 | Alyssa Sands | Speech-Language Pathologist | 1000 Eddy St, Providence, RI 02905-4739 | 2019-11-05 |
| 1760024210 | Ellen Sauco | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-16 |
| 1093357725 | Neftali Aponte | Interpreter | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-15 |
| 1578105169 | Wendy Oliveira | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-15 |
| 1013566678 | Arianna Denise Miche | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-09-06 |
| 1447809397 | Bianca Archila | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 |
|---|---|---|---|---|
| 1104452747 | Lynn Ellen Przystac | Dietitian, Registered | 101 Dudley St Dept Of, Providence, RI 02905-2499 | 2020-03-16 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1023562501 | Julia E. Berman | Dietitian, Registered | 114 11th St, Providence, RI 02906-2912 | 2016-08-12 |
| 1871989137 | Shira Hirshberg | Dietitian, Registered | 271a S Main St, Providence, RI 02903-2910 | 2015-04-13 |
| 1336553643 | Seven Peas, LLC | Dietitian, Registered | 219 W Park St, Providence, RI 02908-4851 | 2014-06-13 |
| 1598195497 | Shira Hirshberg | Dietitian, Registered | 383 W Fountain St Ste 105, Providence, RI 02903-3515 | 2013-11-14 |
| 1245582477 | Healthy Ever After LLC | Dietitian, Registered | 438 Broadway, Providence, RI 02909-1622 | 2012-10-11 |
| 1033419858 | Randi Konikoff Beranbaum | Dietitian, Registered | 5 Wingate Rd, Providence, RI 02906-4909 | 2010-10-26 |
| 1619201985 | Diana Rose Beaton | Dietitian, Registered | 325 Angell St, Providence, RI 02906 | 2009-09-19 |
| 1154654788 | Elizabeth F Fayram | Dietitian, Registered | 1 Richmond Sq Ste 158e, Providence, RI 02906-5141 | 2009-09-15 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.