RENATA MANGRUM (NPI# 1063837938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063837938 |
| Entity Type | Individual |
| Full Name | RENATA MANGRUM |
| Credential | RD |
| Practice Address |
2910 Mccomas Ave Kensington MD 20895-2324 |
| Practice Telephone | 2022039768 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DX4371 | MD | Dietary & Nutritional Service Providers |
| Street Address |
2910 MCCOMAS AVE |
| City | KENSINGTON |
| State | MD |
| Zip Code | 20895-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015457 | Express Yourself Therapy | Occupational Therapist | 3930 Kowles Ave Suite 306, Kensington, MD 20895 | 2020-02-20 |
| 1891343992 | Christine Brandt | Nurse Practitioner | 10605 Concord St Ste 300, Kensington, MD 20895 | 2019-09-01 |
| 1194291765 | Kevin Charles Lorello | Physical Therapy Assistant | Kensington Park, 3620 Littledale Rd, Kensington, MD 20895 | 2018-10-22 |
| 1689154981 | Ryan Rehabilitation LLC | Counselor | 3821 Farragut Ave, Kensington, MD 20895 | 2018-08-16 |
| 1659865673 | Edward Li | Pharmacist | 5110 Nicholson Lane, Kensington, MD 20895 | 2018-06-22 |
| 1245735919 | Kyeshia White | Behavior Technician | 5268-g Nicholson Lane #188, Kensington, MA 20895 | 2018-03-26 |
| 1073036778 | Andrea Zawatsky | Social Worker | 20895 Concord St, 207, Kensington, MD 20895 | 2017-07-25 |
| 1871981860 | Rebecca Abramson | Counselor | 3702 Perry Ave, Kensington, MD 20895 | 2014-12-30 |
| 1730505744 | Claire Lerner | Social Worker | 3841 Farragut Avenue, Abrams and Associates, Kensington, MD 20895 | 2014-03-14 |
| 1588002224 | Yitbarek Abebe | Pharmacist | 3200 Red Orchid Way, Kensington, MD 20895 | 2013-06-04 |
| Find all providers in zip 20895 | ||||
| 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 |
|---|---|---|---|---|
| 1992327480 | Caroline Schmalz | Dietitian, Registered | 2655 Mccomas Ave, Kensington, MD 20895-2826 | 2020-05-07 |
| 1104284207 | Jessica Marcus | Dietitian, Registered | 412 Colusa Ave, Kensington, CA 94707-1211 | 2016-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609791 | Emily Chapman | Dietitian, Registered | 8901 Rockville Pike Rm 348, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1629679436 | Anna Carey Smith | Dietitian, Registered | 8901 Rockville Pike Rm 3103, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1124629761 | Chantelle A Raines | Dietitian, Registered | 4560 Crain Hwy Ste 1, White Plains, MD 20695-3084 | 2020-11-02 |
| 1295336881 | Luminita Alina Bota | Dietitian, Registered | 4560 Crain Hwy Ste 101, White Plains, MD 20695-3084 | 2020-11-02 |
| 1174123962 | Rachel Coury | Dietitian, Registered | 539 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-29 |
| 1699373761 | Bailey Elizabeth Saneman | Dietitian, Registered | 2102 Wiley Rd, Jarrettsville, MD 21084-1801 | 2020-10-12 |
| 1770180176 | Nu Flora LLC | Dietitian, Registered | 10904 Gunpowder Dr, Fort Washington, MD 20744-4155 | 2020-10-08 |
| 1407453228 | Caroline Pearson Tussing | Dietitian, Registered | 11237 Greenspring Ave, Lutherville Timonium, MD 21093-3510 | 2020-10-05 |
| 1568069557 | Huong Nguyen | Dietitian, Registered | 2262 Audrey Manor Ct, Waldorf, MD 20603-4918 | 2020-10-03 |
| 1316544562 | Paige Kalyani | Dietitian, Registered | 118 E Oak Ridge Dr Ste 1100, Hagerstown, MD 21740-7793 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | KENSINGTON |
| Zip Code | 20895 |
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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.