NAN MANSFIELD (NPI# 1114078458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114078458 |
| Entity Type | Individual |
| Full Name | NAN MANSFIELD |
| Credential | R.D. |
| Practice Address |
600 Fitch St Elmira NY 14905-1634 |
| Mailing Address |
722 W Water St Elmira NY 14905-2435 |
| Practice Telephone | 6077378151 |
| Practice Fax Number | 6077378104 |
| Mailing Telephone | 6072712050 |
| Mailing Fax Number | 6072712099 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 001021 | NY | Dietary & Nutritional Service Providers |
| Street Address |
600 FITCH ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255088 | Lawrence Abraham Dolkart | Obstetrics & Gynecology | 600 Fitch St, Suite 205, Elmira, NY 14905-1634 | 2005-06-20 |
| 1891163408 | Lisa Grove | Advanced Practice Midwife | 600 Fitch St, Suite 102, Elmira, NY 14905-1634 | 2015-09-14 |
| 1205259157 | Brenda Radford | Midwife | 600 Fitch St, Suite 206, Elmira, NY 14905-1634 | 2014-01-29 |
| 1821339573 | Jennifer L Share | Registered Nurse | 600 Fitch St, Elmira, NY 14905-1634 | 2013-03-05 |
| 1376895557 | Muna Tosnim Alam | Obstetrics & Gynecology | 600 Fitch St, Suite 102, Elmira, NY 14905-1634 | 2012-10-11 |
| 1083932701 | Katharine Cassidy-devito | Advanced Practice Midwife | 600 Fitch St, Suite 206, Elmira, NY 14905-1634 | 2010-05-05 |
| 1992944367 | Erin Kay Spring | Registered Nurse | 600 Fitch St, Suite 206, Elmira, NY 14905-1634 | 2009-02-09 |
| 1346446721 | Asad Nasir | Internal Medicine | 600 Fitch St, Suite 202/203, Elmira, NY 14905-1634 | 2007-06-22 |
| 1043384597 | Deborah Wade | Advanced Practice Midwife | 600 Fitch St, Suite 102, Elmira, NY 14905-1634 | 2006-11-17 |
| 1427073816 | Walter J Freeman | Obstetrics & Gynecology | 600 Fitch St, Suite 102, Elmira, NY 14905-1634 | 2006-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
| Find all providers in zip 14905 | ||||
| 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 |
|---|---|---|---|---|
| 1194286385 | Lisa Wert | Dietitian, Registered | 100 Washington St Bldg 1, Elmira, NY 14901-2849 | 2019-03-29 |
| 1396957288 | Bedelia Colleen Nowak | Dietitian, Registered | 256 Snell Rd, Elmira, NY 14901 | 2007-05-04 |
| 1003377292 | Mary Griffin | Dietitian, Registered | 100 Washington St Bldg 1, Elmira, NY 14901-2849 | 2019-03-29 |
| 1659654457 | Cynthia Marie Shedden | Dietitian, Registered | 602 Ivy St, Elmira, NY 14905-1646 | 2011-09-28 |
| 1902189889 | Joan Macblane | Dietitian, Registered | 602 Ivy St, Elmira, NY 14905-1646 | 2011-09-27 |
| 1598048183 | Maren Jean Callahan | Dietitian, Registered | 600 Roe Ave, Elmira, NY 14905-1629 | 2011-09-21 |
| 1922277086 | Joel Adam Drake | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2008-02-22 |
| 1801064795 | Donna Jean Burdick | Dietitian, Registered | 163 Sullivan St, Elmira, NY 14901-3331 | 2008-02-14 |
| 1407055882 | Anothony Dominick Patricelli Jr. | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2007-07-16 |
| 1982803243 | Laura J Fleming | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2007-07-16 |
| Find all providers in ELMIRA | ||||
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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.