MS. ELIZABETH O SHODIMU (NPI# 1407222920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407222920 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH O SHODIMU |
| Credential | LICENSE |
| Practice Address |
110-16 Sutphin Blvd 111-08 Witthoff Street Queen's Village NY 11429 |
| Mailing Address |
111-08 Witthoff Street Queen's Village NY 11429 |
| Practice Telephone | 9176585068 |
| Mailing Telephone | 9176585068 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | 004988-1 | NY | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 004988-1 | NY | Dietary & Nutritional Service Providers |
| Street Address |
110-16 SUTPHIN BLVD 111-08 WITTHOFF STREET |
| City | QUEEN'S VILLAGE |
| State | NY |
| Zip Code | 11429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106199 | Cynthia Joseph | Nutritionist | 100-11 208th Street, Queens Village, NY 11429 | 2020-02-13 |
| 1457917338 | Latoya Coleman | Social Worker | 111-41 Colfax Street, Queens Village, NY 11429 | 2019-05-15 |
| 1194294801 | Nats Ny Inc | Pharmacy | 10311 Springfield Blvd, Queens Village, NY 11429 | 2018-11-26 |
| 1912430901 | Firmause Payen | Specialist | 98-35 211th Street, Queens Village, NY 11429 | 2017-04-06 |
| 1891238515 | Kristen Joassaint | Licensed Practical Nurse | 99-09 217th Lane, Queens Village, NY 11429 | 2016-11-29 |
| 1538615877 | Melissa Glenn | Social Worker | 221-26 111th Ave, Queens Village, NY 11429 | 2016-08-28 |
| 1295190627 | Apak Chiropractic | Chiropractor | 218-02 Hempstead Avenue, 2nd Floor, Queens Village, NY 11429 | 2015-12-30 |
| 1548636996 | Donetta Thomas | Licensed Practical Nurse | 20940 111th Avenue, Queens Village, NY 11429 | 2015-08-19 |
| 1669869582 | Koffi Kodoe | Skilled Nursing Facility | 21223 Hollis Ave, Queens Village, NY 11429 | 2015-04-17 |
| 1457747339 | Marie Decius | Licensed Practical Nurse | 22112 112th Road, Queens Village, NY 11429 | 2015-04-08 |
| Find all providers in zip 11429 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850599 | Melissa Ayn Reade | Nutritionist | 143 Golf View Dr, Jericho, NY 11753-2820 | 2020-10-28 |
| 1780283077 | Jessica Michelle Coghill | Nutritionist | 439 Hicks St Apt 1c, Brooklyn, NY 11201-5930 | 2020-10-19 |
| 1225641038 | Qianhui Zhang | Nutritionist | 609 W 114th St Apt 76, New York, NY 10025-7912 | 2020-08-31 |
| 1558973156 | Multicommunity Services At 95 | Nutritionist | 1034 Rutland Rd, Brooklyn, NY 11212-2374 | 2020-08-17 |
| 1588273882 | Arbor Health Inc | Nutritionist | 613 Pittsford Victor Rd, Pittsford, NY 14534 | 2020-07-23 |
| 1982212676 | Francesca Alfano | Nutritionist | 9 Barclay Ct, East Hampton, NY 11937-3538 | 2020-07-19 |
| 1477171007 | Sun Messenger LLC | Nutritionist | 105 8th Ave Apt 4, Brooklyn, NY 11215-1503 | 2020-07-09 |
| 1275154023 | Christine Cherpak-castagna | Nutritionist | 97 Summit St Apt 2, Oyster Bay, NY 11771-2334 | 2020-05-04 |
| 1144841263 | Regina Catherine Ragone | Nutritionist | 2a Woodlawn Pl, Lynbrook, NY 11563-1422 | 2020-04-29 |
| 1922628296 | Nutrition Well, P.C. | Nutritionist | 91 Bay 31st St, Brooklyn, NY 11214-5203 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN'S VILLAGE |
| Zip Code | 11429 |
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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.