STACI MICHELLE VETROVSKY (NPI# 1154313427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154313427 |
| Entity Type | Individual |
| Full Name | STACI MICHELLE VETROVSKY |
| Credential | RD, LDN |
| Practice Address |
353 E Burlington St Suite 202 Riverside IL 60546-2189 |
| Mailing Address |
2720 S Highland Ave Apt 364 Lombard IL 60148-5302 |
| Practice Telephone | 7084426006 |
| Mailing Telephone | 8474202042 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | IL | Dietary & Nutritional Service Providers |
| Street Address |
353 E BURLINGTON ST SUITE 202 |
| City | RIVERSIDE |
| State | IL |
| Zip Code | 60546-2189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913573 | Michael J Hejna | Orthopaedic Surgery | 353 E Burlington St, Ste 100, Riverside, IL 60546-2082 | 2005-06-21 |
| 1316409386 | Kevin Cayanan | Nurse Practitioner | 353 E Burlington St, Riverside, IL 60546-2189 | 2019-04-01 |
| 1407339765 | Adriane Weaver | Nurse Practitioner | 353 E Burlington St, Riverside, IL 60546-2189 | 2018-09-12 |
| 1912307448 | Jennifer Kang | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2014-09-03 |
| 1093016016 | Samantha R Adamczyk | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2010-11-08 |
| 1124179817 | Nicolas S Anderson | Podiatrist | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2007-01-16 |
| 1952469454 | Orthopaedic Associates of Riverside,llc | Orthopaedic Surgery | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-12-05 |
| 1417058934 | Alan D Moses | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-09-26 |
| 1811097918 | High-tech Imaging, Inc. | Spec/Tech, Cardiovascular | 353 E Burlington St, Suite 204, Riverside, IL 60546-2189 | 2006-09-25 |
| 1952381865 | Erling Ho | Orthopaedic Surgery | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700598 | Bekim Koleci | Pharmacist | 2500 South Harlem Ave, North Riverside, North Riverside, IL 60546 | 2020-11-02 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1972073559 | Patricia Dumke | Physical Therapist | 2518 S. Harlem Unit C, North Riverside, IL 60546 | 2018-11-27 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| Find all providers in zip 60546 | ||||
| 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 |
|---|---|---|---|---|
| 1942818844 | Levi Michael Maeschen | Dietitian, Registered | 16487 Sun Summit Dr, Riverside, CA 92503-0553 | 2020-07-16 |
| 1932717139 | The Diet Duchess LLC | Dietitian, Registered | 6809 Indiana Ave Ofc 130-a55, Riverside, CA 92506-4221 | 2020-07-14 |
| 1245715481 | Janelle Craig | Dietitian, Registered | 4315 Shelby Dr, Riverside, CA 92504-2847 | 2018-10-03 |
| 1114400769 | Adali Hernandez Escareno | Dietitian, Registered | 6836 Butte Dr, Riverside, CA 92505-1006 | 2018-09-10 |
| 1740779461 | Stephanie Pauline Oakes | Dietitian, Registered | 375 Central Ave Unit 113, Riverside, CA 92507-6581 | 2018-05-08 |
| 1932526811 | Stephanie Nicole Taylor | Dietitian, Registered | 7887 Mission Grove Pkwy S Ste B, Riverside, CA 92508-5055 | 2014-03-27 |
| 1023359767 | Matthew A Malouin | Dietitian, Registered | 6349 San Diego Ave, Riverside, CA 92506-3136 | 2013-03-05 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1477804185 | Erin A Lehman | Dietitian, Registered | 4358 Edgewood Pl, Riverside, CA 92506-1747 | 2012-09-21 |
| 1548521479 | Lorraine Mae Pasamba | Dietitian, Registered | 11328 Meridan Way, Riverside, CA 92505-2275 | 2012-06-07 |
| Find all providers in RIVERSIDE | ||||
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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.