MRS. JACQUELINE BALLOU ERDOS (NPI# 1336382035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336382035 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE BALLOU ERDOS |
| Other Name | JACQUELINE RENEE BALLOU |
| Credential | MS, RD, CSSD, CDN |
| Practice Address |
40 Cross St Norwalk CT 06851-4647 |
| Mailing Address |
One Autumn Street Room 455 Childrens Hospital Boston Boston MA 02115 |
| Practice Telephone | 2032292000 |
| Practice Fax Number | 2038403153 |
| Mailing Telephone | 6173556097 |
| Mailing Fax Number | 6177300183 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1753 | CT | Dietary & Nutritional Service Providers |
| Street Address |
40 CROSS ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095613 | Jaclyn Conelius | Nurse Practitioner | 40 Cross St, Norwalk, CT 06851-4647 | 2005-07-07 |
| 1285174847 | Gianna Rafetto | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2017-03-02 |
| 1124470299 | Melissa Kate Fraher | Registered Nurse | 40 Cross St, Suite 300b, Norwalk, CT 06851-4647 | 2016-07-12 |
| 1619367141 | Jessica Gonzalez | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2015-02-04 |
| 1942617980 | Kathleen Smith | Nurse Practitioner | 40 Cross St, Norwalk, CT 06851-4647 | 2014-07-22 |
| 1578981858 | Sean Butler | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2014-04-02 |
| 1902240849 | Aniqa Anwar | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2013-04-22 |
| 1194073049 | Christine K. Shanahan | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2012-08-27 |
| 1871841726 | Erin Denise Martin | Nurse Practitioner | 40 Cross St, Suite 300, Norwalk, CT 06851-4647 | 2012-08-27 |
| 1366726432 | Lynn M Nussbaum | Nurse Practitioner | 40 Cross St, Suite 300, Norwalk, CT 06851-4647 | 2011-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| 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 |
|---|---|---|---|---|
| 1487265070 | Heather A Mcgovern | Dietitian, Registered | 11132 Molette St, Norwalk, CA 90650-6149 | 2020-08-16 |
| 1053881433 | Erica Jade Chaple | Dietitian, Registered | 34 Oakwood Ave Unit 316, Norwalk, CT 06850-1392 | 2018-11-28 |
| 1801326780 | Wendy Meredith Slater | Dietitian, Registered | 40 Cross St Ste 300, Norwalk, CT 06851-4661 | 2017-06-14 |
| 1598006249 | Mina Ho Moon Choi | Dietitian, Registered | 11675 Chesterton St, Norwalk, CA 90650-7037 | 2013-03-05 |
| 1851638639 | Bunrorth Doung | Dietitian, Registered | 13960 Edgewater Dr, Norwalk, CA 90650-3404 | 2013-01-13 |
| 1457614547 | Jenny Nguyen | Dietitian, Registered | 13926 S San Antonio Dr, Ste 102, Norwalk, CA 90650 | 2012-06-22 |
| 1437390168 | Sara Elizabeth Garbin | Dietitian, Registered | 130 Fillow St Unit 14, Norwalk, CT 06850-2439 | 2009-03-09 |
| 1063505246 | Susan E Pritchard Downie | Dietitian, Registered | Respiratory Associates 83 East Ave, Suite 307, Norwalk, CT 06851 | 2006-10-02 |
| 1255379715 | Priscila Alfonso Silvestre | Dietitian, Registered | 14 Bedford Ave, Building 2 Apt.2, Norwalk, CT 06850-3857 | 2006-06-04 |
| 1215567391 | Jenna L Malott | Dietitian, Registered | 272 Benedict Ave, Norwalk, OH 44857-2374 | 2020-01-17 |
| Find all providers in NORWALK | ||||
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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.