MRS. CHITHKALA RAVISHANKAR (NPI# 1144315870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144315870 |
| Entity Type | Individual |
| Full Name | MRS. CHITHKALA RAVISHANKAR |
| Other Name | MRS. KALA RAVISHANKAR |
| Credential | MS RD CDE |
| Practice Address |
997 Glen Cove Ave Glen Head NY 11545-1593 |
| Mailing Address |
31 Green Dr Roslyn NY 11576-3208 |
| Practice Telephone | 5166749144 |
| Practice Fax Number | 5166744024 |
| Mailing Telephone | 5166749144 |
| Mailing Fax Number | 5166744024 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
004375 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PTAN | 03P92EY561 | 01 |
| Street Address |
997 GLEN COVE AVE |
| City | GLEN HEAD |
| State | NY |
| Zip Code | 11545-1593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773010 | Michael I Gurevich | Psychiatry & Neurology | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2005-07-10 |
| 1598315087 | Sherry Xie | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2019-09-17 |
| 1497205173 | Larissa Gourdet | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2016-10-06 |
| 1487999017 | Nancy H Larson | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2012-12-08 |
| 1538442256 | Tia Trivisonno | Acupuncturist | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2011-09-20 |
| 1790928026 | Shreyas T Ravishankar | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2009-04-16 |
| 1619141645 | Ghazanfar W. Haidery Md PC | Family Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2008-04-22 |
| 1861683963 | Suhu Natural Health | Clinic/Center | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2007-08-05 |
| 1588726426 | T.ravishankar Md PC | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2006-12-15 |
| 1972674067 | Nina Gurevich | Psychiatry & Neurology | 997 Glen Cove Ave, Glen Head, NY 11545 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896350 | Ian Persits | Student in an Organized Health Care Education/Training Program | Hannah and Charles Serota Academic Center, Glen Head, NY 11545 | 2020-03-13 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1992237994 | Humaira Ali | Student in an Organized Health Care Education/Training Program | 214 Brookville Road, Glen Head, NY 11545 | 2017-03-29 |
| 1659727006 | Ana Wegmann | Specialist | 17 Chapel Gate Lane, Glen Head, NY 11545 | 2016-05-04 |
| 1427452226 | Jane Zwilling | Psychologist | 11 Wenwood Drive, Brookville, NY 11545 | 2014-10-22 |
| 1619387354 | Gillian Meketansky | Speech-Language Pathologist | 101 Northern Blvd, Glen Hed, NY 11545 | 2014-05-03 |
| 1174861819 | Monique A. Vaccaro | Speech-Language Pathologist | 36 Cherry Street, Glen Head, NY 11545 | 2013-01-30 |
| 1467704676 | Lisette Perez | Licensed Practical Nurse | 189 Wheatley Rd., Brookville, NY 11545 | 2012-10-11 |
| 1952666323 | Catherine Forsander | Specialist | 14 Hillside Avenue, Glen Head, NY 11545 | 2012-07-11 |
| Find all providers in zip 11545 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308276 | Jennifer Nicole Arnette | Dietitian, Registered | 1207 Delaware Ave Ste 114, Buffalo, NY 14209-1458 | 2020-08-26 |
| 1487200358 | Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, LLC | Dietitian, Registered | 4867 College St, Ashville, NY 14710-9603 | 2019-08-15 |
| 1093219586 | Nutrition Link Services, LLC | Dietitian, Registered | 50 Jeanne Dr, Newburgh, NY 12550-1701 | 2018-03-20 |
| 1275037749 | Jo Ann Brown | Dietitian, Registered | 2233 Caton Ave Apt 6a, Brooklyn, NY 11226-2588 | 2018-03-20 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1770994741 | Juliana Martinez | Dietitian, Registered | 430 West 34th St, Apt. 3k, New York, NY 10001-2310 | 2014-05-13 |
| 1912338120 | Kelly Elaine Gumpel | Dietitian, Registered | 60 Paulding Ave, Tarrytown, NY 10591-5713 | 2013-12-13 |
| 1467898528 | Ilona Ginevic | Dietitian, Registered | One Gustave L. Levy Place, Box 1497, New York, NY 10029 | 2013-05-16 |
| 1114286887 | Ilene Frischer | Dietitian, Registered | 560 Northern Blvd Suite207, Great Neck, NY 11021 | 2012-05-15 |
| 1033492582 | His Rhema Nutrition Services, LLC | Dietitian, Registered | 9050 Parsons Blvd Ste 304, Jamaica, NY 11432-6052 | 2011-09-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. CHITHKALA RAVISHANKAR.
| 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.