NOELLE DOMINIQUE ALTAVILLA (NPI# 1275827008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275827008 |
| Entity Type | Individual |
| Full Name | NOELLE DOMINIQUE ALTAVILLA |
| Credential | RD, LDN |
| Practice Address |
2 Poplar St Kingston PA 18704-3709 |
| Mailing Address |
610 Wyoming Ave Kingston PA 18704-3702 |
| Practice Telephone | 5707144090 |
| Mailing Telephone | 5702885441 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2014-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
2 POPLAR ST |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437124377 | Erin Burns | Physician Assistant | 2 Poplar St, Kingston, PA 18704-3709 | 2006-02-22 |
| 1669409603 | George Decurtis | Family Medicine | 2 Poplar St, Kingston, PA 18704-3709 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| 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 |
|---|---|---|---|---|
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1124433818 | Laurie Deutsch Mozian | Dietitian, Registered | 15 Presidents Pl, Kingston, NY 12401-6307 | 2014-06-22 |
| 1194014555 | Victoria E Kelly | Dietitian, Registered | 65 Twin Ponds Dr, Kingston, NY 12401-6432 | 2011-04-06 |
| 1902119571 | Rosemary Anne Mancuso | Dietitian, Registered | 171 W Chester St, Kingston, NY 12401-5939 | 2010-07-23 |
| 1558526855 | Joyce Marcley Vergili | Dietitian, Registered | 34 Denver Rd, Kingston, NY 12401-1102 | 2008-07-25 |
| 1538253984 | Joy Armillay, Ed.d., R.d., Ldn | Dietitian, Registered | 425 Tioga Avenue, Kingston, PA 18704 | 2006-10-02 |
| 1699705657 | Beth M Higgins | Dietitian, Registered | 534 Wyoming Ave, Diabetes Management Center, Kingston, PA 18704-3742 | 2006-07-04 |
| 1487690640 | Ilyse A Simon | Dietitian, Registered | 231 Clinton Ave, Kingston, NY 12401-5030 | 2006-06-22 |
| 1598704249 | Wendy M Roosa | Dietitian, Registered | 35 Barbarosa Ln, Kingston, NY 12401-1221 | 2006-06-06 |
| 1356397673 | Intermountain Medical Group, Inc | Dietitian, Registered | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-05-26 |
| Find all providers in KINGSTON | ||||
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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.