ANDREA ROSE DUDENHOEFER (NPI# 1417501081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417501081 |
| Entity Type | Individual |
| Full Name | ANDREA ROSE DUDENHOEFER |
| Credential | RD |
| Practice Address |
5917 Mystic Rdg Erie PA 16506-7042 |
| Practice Telephone | 8144030753 |
| Mailing Telephone | 8144030753 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86108941 | PA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 86108941 | 05 |
| Street Address |
5917 MYSTIC RDG |
| City | ERIE |
| State | PA |
| Zip Code | 16506-7042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| 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 |
|---|---|---|---|---|
| 1417490921 | Terri Will | Dietitian, Registered | 10130 Wattsburg Rd, Erie, PA 16509-6124 | 2016-12-01 |
| 1114396421 | Gabriela Victoria Proano | Dietitian, Registered | 517 W 31st St, Erie, PA 16508-1742 | 2015-09-16 |
| 1598171142 | Christie Michelle Parsons | Dietitian, Registered | 515 Lincoln Ave, Erie, PA 16505-2451 | 2014-07-03 |
| 1639582075 | Ilana F Wolfson | Dietitian, Registered | 3727 Cherry St, Erie, PA 16508-2609 | 2014-06-03 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1851639249 | Nora E Mccann | Dietitian, Registered | 1361 W 6th St, Erie, PA 16505-2503 | 2013-01-21 |
| 1801160973 | Helen Anne Agresti | Dietitian, Registered | 431 Hilltop Rd, Erie, PA 16509-2312 | 2012-03-06 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1760781280 | Sandra L Luthringer | Dietitian, Registered | 5042 Peach St, Erie, PA 16509-2472 | 2011-03-23 |
| 1952538266 | Darlene Susan Przybyszewski | Dietitian, Registered | 3330 Peach St Ste 211, Erie, PA 16508-2772 | 2009-06-12 |
| Find all providers in ERIE | ||||
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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.