SHANE FIT (NPI# 1295092229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295092229 |
| Entity Type | Organization |
| Organization Name | SHANE FIT |
| Practice Address |
134 Teatown Road Croton On Hudson CA 90265 |
| Mailing Address |
134 Teatown Rd Croton On Hudson NY 10520-3524 |
| Practice Telephone | 6267979977 |
| Mailing Telephone | 6267979977 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | MRS. MICHELLE MAIDENBERG (MEDICAL DOCTOR) |
| Authorized Official Telephone | 6267979977 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 132700000X | Dietary Manager | R049213-1 | NY | Dietary & Nutritional Service Providers |
| Street Address |
134 TEATOWN ROAD |
| City | CROTON ON HUDSON |
| State | CA |
| Zip Code | 90265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
| 1912518887 | Oconnor Optometric Inc | Optometrist | 23401 Civic Center Way, Unit 2b, Malibu, CA 90265 | 2020-08-13 |
| 1184234593 | Jessica Gash | Student in an Organized Health Care Education/Training Program | 24420 Tiner Court, Malibu, CA 90265 | 2020-07-31 |
| 1902438393 | Montage Recovery Ca, LLC | Clinic/Center | 2890 Kanan Dume Road, Malibu, CA 90265 | 2020-02-04 |
| 1164909032 | Joseph Turcillo | Internal Medicine | 3065 Malibu Country Dr, Malibu, CA 90265 | 2018-07-24 |
| 1356830657 | Samantha Erin Schlossmann | Clinical Neuropsychologist | 28348 Rey De Copas Lane, Malibu, CA 90265 | 2018-05-02 |
| 1740783653 | Adam Dov Greenberg | Acupuncturist | 5853 Filaree Hts., Malibu, CA 90265 | 2018-03-16 |
| 1225556673 | Jeff Harris, M.d. A Medical Corporation | Pediatrics | 23805 Stuart Ranch Rd. #310, Malibu, CA 90265 | 2017-09-06 |
| 1184177347 | Michael J. Maguire Acupuncturist, Inc. | Acupuncturist | 28990 PCh, Building B Ste 211, Malibu, CA 90265 | 2016-07-25 |
| 1093182198 | Recovery Malibu, Inc. | Substance Abuse Rehabilitation Facility | 20723 Rockcroft Dr., Malibu, CA 90265 | 2015-08-25 |
| Find all providers in zip 90265 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289825 | Steven Richard Lindsay | Dietary Manager | 1706 Glen Kippen Ln, Clovis, CA 93619-2870 | 2019-11-07 |
| 1902259781 | Ayde Colin | Dietary Manager | 102 Ladera Dr, Santa Cruz, CA 95060-5254 | 2016-07-18 |
| 1982080578 | Parvaneh Lalezari | Dietary Manager | 18410 Wells Dr, Tarzana, CA 91356-4221 | 2015-08-05 |
| 1043628910 | Carol Habercoss | Dietary Manager | 6955 Foothill Blvd Ste 188, Oakland, CA 94605-2455 | 2014-07-23 |
| 1609282573 | Jessica Woodruff | Dietary Manager | 4929 Oakwood Ave, La Canada, CA 91011-2543 | 2014-07-10 |
| 1891119616 | Soheyla Safe Hashemi | Dietary Manager | 24585 Town Center Dr, 4403, Valencia, CA 91355-1366 | 2014-02-13 |
| 1902231749 | Nana Rushka Stark | Dietary Manager | 538 N. Mansfield Avenue, Los Angeles, CA 90036-2612 | 2013-09-11 |
| 1730453069 | Gala Gabriela Byroff | Dietary Manager | 7810 Via Genova, Burbank, CA 91504-1118 | 2012-03-05 |
| 1982988317 | Charmene Marjorie Vega | Dietary Manager | 10015 Cinderella Ave, Bakersfield, CA 93311-2994 | 2011-10-04 |
| 1518187772 | Mary Ann Kelly | Dietary Manager | 6448 Hallee Rd Ste 9, Joshua Tree, CA 92252-1908 | 2007-04-27 |
| Find all providers with the same taxonomy | ||||
| City | CROTON ON HUDSON |
| Zip Code | 90265 |
Please comment or provide details below to improve the information on SHANE FIT.
| 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.