MS. DOLORES FREY PRENDERGAST (NPI# 1073753398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073753398 |
| Entity Type | Individual |
| Full Name | MS. DOLORES FREY PRENDERGAST |
| Credential | MS, RD, LD/N |
| Practice Address |
4600 N Habana Ave Ste 15 Tampa FL 33614-7123 |
| Practice Telephone | 8138704460 |
| Practice Fax Number | 8138704459 |
| Mailing Telephone | 8138704460 |
| Mailing Fax Number | 8138704459 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND2372 | FL | Dietary & Nutritional Service Providers |
| Street Address |
4600 N HABANA AVE STE 15 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447757265 | Kavita M Christensen | Nurse Practitioner | 4600 N Habana Ave Ste 15, Tampa, FL 33614-7123 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| 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 |
|---|---|---|---|---|
| 1588265268 | Rachel Moore Gibson | Dietitian, Registered | 5145 S Dale Mabry Hwy Unit 20412, Tampa, FL 33611-3677 | 2020-11-08 |
| 1275134520 | Dunia Santana-enamorado | Dietitian, Registered | 6141 Lanshire Dr, Tampa, FL 33634-3042 | 2020-11-03 |
| 1366049819 | Stephanie Marie Cupples Wilson | Dietitian, Registered | 5401 Harborside Dr, Tampa, FL 33615-3664 | 2020-10-07 |
| 1255946786 | Michelle Dwoskin | Dietitian, Registered | 13531 Lake Magdalene Dr, Tampa, FL 33613-4100 | 2020-09-11 |
| 1891309878 | Stephanie Nicholson | Dietitian, Registered | 2708 W Price Ave, Tampa, FL 33611-3834 | 2020-09-07 |
| 1720691462 | Dorothy Agoulnik | Dietitian, Registered | 202 S Parker St Unit 743, Tampa, FL 33606-2603 | 2020-08-24 |
| 1861001513 | Mckenna M Murphy | Dietitian, Registered | 9311 N Arrawana Ave, Tampa, FL 33618-4521 | 2020-07-29 |
| 1154930261 | Sarah Minaya | Dietitian, Registered | 8524 Bramwell Way, Tampa, FL 33647-1703 | 2020-07-24 |
| 1821613001 | Maria Nieves Vicente Ranola | Dietitian, Registered | 3627 W Waters Ave, Tampa, FL 33614-2783 | 2020-06-12 |
| 1851921217 | Genevieve Sanders | Dietitian, Registered | 7280 Barque Dr, Tampa, FL 33607-5868 | 2020-01-23 |
| Find all providers in TAMPA | ||||
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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.