SARA J PEROVICH (NPI# 1194819581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194819581 |
Entity Type | Individual |
Full Name | SARA J PEROVICH |
Credential | RD |
Practice Address |
8300 Constitution Ave Ne Kaseman Hospital Food and Nutrition Albuquerque NM 87110-7613 |
Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
Practice Telephone | 5052912625 |
Practice Fax Number | 5052912446 |
Mailing Telephone | 5059235356 |
Mailing Fax Number | 5059235654 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2009-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 6 | NM | Dietary & Nutritional Service Providers |
Street Address |
8300 CONSTITUTION AVE NE KASEMAN HOSPITAL FOOD AND NUTRITION |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110-7613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386641876 | Mahmood Reza Zamanian | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2005-06-30 |
1972123511 | Kate Marcus | Occupational Therapist | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2020-04-23 |
1033756887 | Grady Fowler | Physician Assistant | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2019-11-27 |
1306498860 | Carly Pecoriello Nowicki | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2019-07-15 |
1255806543 | Donna Renee Whalen | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-10-12 |
1972003119 | Whitney Wyers | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-02-14 |
1215436050 | Joanne Elaine Greer | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-02-07 |
1447759659 | Monica Nmi Martinez | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-02-03 |
1386142792 | Jenny Pilkey | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2018-01-31 |
1215443130 | Andrea E Owens | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2017-12-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
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 |
---|---|---|---|---|
1184237075 | Kelly Ann Gardiner | Dietitian, Registered | 9123 Retablo Rd Nw, Albuquerque, NM 87120-7138 | 2020-08-28 |
1356954929 | Hannah Contrucci | Dietitian, Registered | 2920 Carlisle Blvd Ne Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
1083227656 | Advanced Nutrition Services, LLC | Dietitian, Registered | 2920 Carlisle Blvd Ne, Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
1417575267 | Valerie Silver | Dietitian, Registered | 6225 Hannett Ave Ne, Albuquerque, NM 87110-5918 | 2020-07-08 |
1295350346 | Amanda Montano | Dietitian, Registered | 9928 Cielito Norte Way Ne, Albuquerque, NM 87122-3222 | 2020-06-15 |
1457974420 | Juliet Corley | Dietitian, Registered | 926 Madeira Dr Se, Albuquerque, NM 87108-3618 | 2020-05-25 |
1205459740 | Haley Snell-sparapany | Dietitian, Registered | 1520 Tramway Blvd Ne, Albuquerque, NM 87112-4655 | 2020-05-19 |
1689294829 | Jennifer K Jackson | Dietitian, Registered | 13017 Bear Dancer Trl Ne, Albuquerque, NM 87112-3726 | 2020-04-17 |
1265063424 | Adam Hillman | Dietitian, Registered | 808 Cardenas Dr Ne, Albuquerque, NM 87108-1718 | 2020-01-27 |
1962040683 | Kristyn Lenore Bawol | Dietitian, Registered | 1501 San Pedro Dr Se Rm 1047, Albuquerque, NM 87108-5180 | 2019-12-12 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87110 |
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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.