MS. KRISTEN BETH GORIC (NPI# 1184811697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184811697 |
| Entity Type | Individual |
| Full Name | MS. KRISTEN BETH GORIC |
| Credential | RD |
| Practice Address |
71 Haynes Street Manchester CT 06040 |
| Practice Telephone | 8606461222 |
| Practice Fax Number | 8606476857 |
| Mailing Telephone | 8606461222 |
| Mailing Fax Number | 8606476857 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
71 HAYNES STREET |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164490587 | Barbara Ann Pascal-gladstone | Clinical Nurse Specialist | 71 Haynes Street, Manchester, CT 06040 | 2006-03-10 |
| 1891291217 | Melissa Cowen | Registered Nurse | 71 Haynes Street, Dsmp, 2nd Floor, Manchester, CT 06040 | 2018-04-04 |
| 1780940080 | Ingrid Melainie Abrahamson | Physician Assistant | 71 Haynes Street, Manchester, CT 06040 | 2012-04-11 |
| 1619251816 | Jenna Marie Cooke | Nurse Practitioner | 71 Haynes Street, Manchester, CT 06040-4188 | 2011-10-06 |
| 1285821793 | Heather Lynn Gifford | Dietitian, Registered | 71 Haynes Street, Manchester Memorial Hospital, Manchester, CT 06040 | 2007-09-28 |
| 1457548968 | Alison Marie Martin | Dietitian, Registered | 71 Haynes Street, Sodexo At Manchester Memorial Hospital, Manchester, CT 06040 | 2007-09-28 |
| 1083801591 | Carol Ann Bernard | Dietetic Technician, Registered | 71 Haynes Street, Manchester Memorial Hospital, Manchester, CT 06040 | 2007-09-28 |
| 1144386541 | Emily Li | Internal Medicine | 71 Haynes Street, Suite 1209, Manchester, CT 06040 | 2006-12-29 |
| 1356308514 | Bruno Valentine Lozito | Counselor | 71 Haynes Street, Manchester, CT 06040 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| 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 |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1558763458 | Emily Haffner | Dietitian, Registered | 738 Galway Dr, Manchester, MO 63021-7117 | 2014-09-23 |
| 1376958926 | Cindy Cohen | Dietitian, Registered | 150 Jacqueline Dr, Manchester, CT 06040-7069 | 2014-06-23 |
| 1306278411 | Julie Batulevitz | Dietitian, Registered | 140 Eldridge St, Manchester, CT 06040-6112 | 2013-07-31 |
| 1346511078 | Leslie Ann Bullock | Dietitian, Registered | 195 Mcgregor St Ste 312, Manchester, NH 03102-3749 | 2012-01-26 |
| 1174825525 | Joanne Lenore Lahiff | Dietitian, Registered | 100 Mcgregor St., Catholic Medical Center, Diabetes Resource Institute Level B, Manchester, NH 03102-3730 | 2010-11-17 |
| 1821312224 | Kelly Gray | Dietitian, Registered | 330 Shamrock Rd, Manchester, KY 40962-9201 | 2010-03-15 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1396930533 | Margaret Anne Steeb | Dietitian, Registered | 216 N. Washington St, Unit # 3, Manchester, MI 48158-0504 | 2007-09-11 |
| 1811063977 | Robert Lucky Rosenfield | Dietitian, Registered | 1002 Dauphine Ln, Manchester, MO 63011-4116 | 2006-11-28 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.