NICOLE DEROSA (NPI# 1144786252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144786252 |
| Entity Type | Individual |
| Full Name | NICOLE DEROSA |
| Credential | RD |
| Practice Address |
1210 E Plant St Ste 130 Winter Garden FL 34787-2995 |
| Mailing Address |
249 Alford Dr Davenport FL 33896-8396 |
| Practice Telephone | 4072978408 |
| Mailing Telephone | 2035604039 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND8682 | FL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMISSION OF DIETETIC REGISTRATION | 86077693 | 01 | |
| FL | FLORIDA DEPARTMENT OF HEALTH | ND8682 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427309228 | Nicole M Derosa | Psychologist | 600 E Genesee St, Suite 130, Syracuse, NY 13202-3130 | 2012-09-20 |
| Street Address |
1210 E PLANT ST STE 130 |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-2995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174902779 | West Orange Winter Garden Dialysis Center LLC | Clinic/Center | 1210 E Plant St Ste 130, Winter Garden, FL 34787-2995 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| 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 |
|---|---|---|---|---|
| 1609272210 | Jennifer Beery | Dietitian, Registered | 14388 Black Quill Dr, Winter Garden, FL 34787-5158 | 2014-11-10 |
| 1215345079 | Shaila Philip | Dietitian, Registered | 2615 Black Lake Blvd, Winter Garden, FL 34787-4757 | 2014-07-24 |
| 1164869491 | Jackie Vega | Dietitian, Registered | 14465 Whittridge Dr, Winter Garden, FL 34787-6211 | 2013-05-28 |
| 1740772508 | Horizon West Nutrition Services, LLC | Dietitian, Registered | 14388 Black Quill Dr, Winter Garden, FL 34787-5158 | 2018-06-06 |
| 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 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1114527256 | Jacquelyn Gabriela Baldeon Garo | Dietitian, Registered | 17701 Sw 112th Ave, Miami, FL 33157-5007 | 2020-10-28 |
| 1013516632 | Cecelia Lee Andreo | Dietitian, Registered | 3545 Victory Dr, Pace, FL 32571-8302 | 2020-10-24 |
| 1114526209 | Scientific Nutrition International LLC | Dietitian, Registered | 6295 Sunset Dr, South Miami, FL 33143-4804 | 2020-10-20 |
| 1023617446 | Madisyn Becker | Dietitian, Registered | 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 | 2020-10-19 |
| 1194323774 | Janice Cuevas Cintron | Dietitian, Registered | 5439 Limestone Ln, Lakeland, FL 33809-0830 | 2020-10-15 |
| 1194323345 | Danielle Sara Samelson | Dietitian, Registered | 4225 Cloverleaf Pl, Casselberry, FL 32707-4703 | 2020-10-10 |
| 1518564830 | Sneha Lalla | Dietitian, Registered | 14171 Metropolis Ave Ste 202, Fort Myers, FL 33912-4335 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
Please comment or provide details below to improve the information on NICOLE DEROSA.
| 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.