EAT LIVE NUTRITION, PLLC (NPI# 1265989776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265989776 |
| Entity Type | Organization |
| Organization Name | EAT LIVE NUTRITION, PLLC |
| Practice Address |
1026 Union Rd West Seneca NY 14224-3445 |
| Mailing Address |
198 Oehman Blvd Cheektowaga NY 14225-1608 |
| Practice Telephone | 7162171004 |
| Mailing Telephone | 5857032739 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | EMILY LAURIN (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 5857032739 |
| Authorized Official Credential | MS, RD, CDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 007596-1 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE | J400201451 | 01 |
| NPI | 1811252604 | 01 |
| Street Address |
1026 UNION RD |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154327583 | Corry Lea Wierzbowski | Physician Assistant | 1026 Union Rd, West Seneca, NY 14224-3445 | 2005-06-21 |
| 1881170686 | Nicole Anna Fore | Physician Assistant | 1026 Union Rd, West Seneca, NY 14224 | 2018-07-15 |
| 1710493135 | Sarah Kathleen Mcgowan | Physician Assistant | 1026 Union Rd, West Seneca, NY 14224-3445 | 2017-12-21 |
| 1851815864 | Megan Christine Morano | Physician Assistant | 1026 Union Rd, West Seneca, NY 14224-3445 | 2017-08-01 |
| 1609238021 | Courtney Claire Hurley | Physician Assistant | 1026 Union Rd, West Seneca, NY 14224-3445 | 2016-03-24 |
| 1760841845 | Natalie Chapman | Physician Assistant | 1026 Union Rd, West Seneca, NY 14224-3445 | 2016-02-17 |
| 1851772354 | Anh-thu Ho Nguyen | Family Medicine | 1026 Union Rd, West Seneca, NY 14224-3445 | 2015-06-11 |
| 1578941613 | Erica Redenbach | Family Medicine | 1026 Union Rd, West Seneca, NY 14224-3445 | 2015-05-08 |
| 1760874390 | Heather Leary | Nurse Practitioner | 1026 Union Rd, West Seneca, NY 14224-3445 | 2015-02-18 |
| 1679901524 | Lauren Ashley Fuest | Physical Therapist | 1026 Union Rd, West Seneca, NY 14224-3445 | 2013-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| 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 |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1427523166 | Michelle Werneiwski | Dietitian, Registered | 192 Tim Tam Ter, West Seneca, NY 14224-1644 | 2018-10-09 |
| 1922549245 | Jennifer Rufo | Dietitian, Registered | 53 Sherwood Ln, West Seneca, NY 14224-3109 | 2017-03-20 |
| 1548711435 | Krista Cunningham | Dietitian, Registered | 23 Henrietta Ave, West Seneca, NY 14224-2227 | 2016-10-17 |
| 1063761971 | Erin Marie Burch | Dietitian, Registered | 164 Crofton Dr, West Seneca, NY 14224-4431 | 2012-09-06 |
| 1316108129 | Elizabeth Ann Myers | Dietitian, Registered | 1590 Southwestern Blvd, Apt. A4, West Seneca, NY 14224-4552 | 2008-06-24 |
| 1710162953 | Carrie Reed | Dietitian, Registered | 54 Sharon Dr, West Seneca, NY 14224-1527 | 2008-01-07 |
| 1659416519 | Timothy B Gorny | Dietitian, Registered | 1200 East West Rd, West Seneca, NY 14224-3604 | 2007-02-20 |
| 1689620817 | Karen Krnjaich | Dietitian, Registered | 4105 Seneca St, West Seneca, NY 14224-3045 | 2006-05-26 |
| 1114499969 | Jamie L Bond | Dietitian, Registered | 1200 E and West Rd, West Seneca, NY 14224-3604 | 2018-12-18 |
| Find all providers in WEST SENECA | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
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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.