JEANNIE THERESE MUND (NPI# 1356519797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356519797 |
| Entity Type | Individual |
| Full Name | JEANNIE THERESE MUND |
| Credential | MPA CLC RD CDN |
| Practice Address |
19 Schoharie St Staten Island NY 10301-4325 |
| Mailing Address |
Po Box 50273 Staten Island NY 10305-0273 |
| Practice Telephone | 3474234192 |
| Mailing Telephone | 3474234192 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 002995 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ADA REGISTRATION | 707184 | 01 |
| Street Address |
19 SCHOHARIE ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| 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 |
|---|---|---|---|---|
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| 1275070765 | Malgorzata Rokoszak | Dietitian, Registered | 97 Lansing St, Staten Island, NY 10305-4307 | 2017-01-23 |
| 1922558790 | Alexandra D'elia | Dietitian, Registered | 411 Huguenot Ave, Staten Island, NY 10312-1101 | 2016-10-05 |
| 1720445869 | Christina Fahy | Dietitian, Registered | 2375 Richmond Rd, Staten Island, NY 10306-2352 | 2016-01-20 |
| 1427422484 | Judy Desantis | Dietitian, Registered | 1187 Richmond Ave, Staten Island, NY 10314-7428 | 2015-11-13 |
| 1013355395 | Karla E Journey | Dietitian, Registered | 17 Azalea Ct, Staten Island, NY 10309-1633 | 2013-06-10 |
| 1508202748 | Estee Smoler | Dietitian, Registered | 346 Woodrow Rd, Staten Island, NY 10312-1305 | 2013-05-15 |
| 1396041190 | Andrea Doria Cameron | Dietitian, Registered | 17 Purcell Street, Staten Island, NY 10310 | 2011-01-27 |
| 1811211550 | Shobha Nandivada | Dietitian, Registered | 113 Fieldstone Rd, Staten Island, NY 10314-3275 | 2010-03-24 |
| 1962733311 | Sally-ann Clementoni | Dietitian, Registered | 366 Burgher Ave, Apt 1a, Staten Island, NY 10305-2317 | 2010-01-25 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
Please comment or provide details below to improve the information on JEANNIE THERESE MUND.
| 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.