DR. IVIS THEODORE FORRESTER (NPI# 1437438645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437438645 |
| Entity Type | Individual |
| Full Name | DR. IVIS THEODORE FORRESTER |
| Credential | PH.D., RD |
| Practice Address |
3939 Reisterstown Rd Baltimore MD 21251 |
| Mailing Address |
6210 Glen Falls Rd Reisterstown MD 21136 |
| Practice Telephone | 4103677821 |
| Practice Fax Number | 4103677823 |
| Mailing Telephone | 4108333682 |
| Mailing Fax Number | 4108333682 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D02016 | MD | Dietary & Nutritional Service Providers |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
D02016 | MD | Dietary & Nutritional Service Providers |
| Street Address |
3939 REISTERSTOWN RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720019672 | Aba Health Services Inc | Clinic/Center | 3939 Reisterstown Rd, Baltimore, MD 21215-7601 | 2006-07-06 |
| 1245617042 | Aba Health Services Inc | Clinic/Center | 3939 Reisterstown Rd, Suite 150, Baltimore, MD 21215-7601 | 2015-04-30 |
| 1649593245 | Aba Health Services Counseling | Clinic/Center | 3939 Reisterstown Rd, Baltimore, MD 21215-7601 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811371016 | Kaitlyn Creznic | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251 | 2015-07-17 |
| 1154751584 | Morgan State University Health Center | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2013-11-21 |
| 1427207778 | Kathy H. Chan | Physician Assistant | Morgan State University, Woolford Infirmary, Baltimore, MD 21251-0001 | 2008-09-11 |
| 1982176673 | National Rehabilitation Hospital, Inc. | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2018-12-19 |
| 1073098778 | Kennedi Van Eyken | Internal Medicine | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2018-09-27 |
| 1821468349 | Daquane Ellington | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2015-09-26 |
| 1427456599 | Ron Cooper | Specialist/Technologist | 1700 E Cold Spring Ln, Athletics Department, Baltimore, MD 21251-0001 | 2014-12-05 |
| 1891191516 | Shanteisha Pruitt | Specialist/Technologist | 1700 E Cold Spring Ln, Hill Field House Ll119, Baltimore, MD 21251-0001 | 2014-11-06 |
| 1407258825 | Morgan State University | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2014-09-17 |
| 1043628746 | Kasey Richardson | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2014-07-25 |
| Find all providers in zip 21251 | ||||
| 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 |
|---|---|---|---|---|
| 1609485176 | Olivia Massa | Dietitian, Registered | 2437 Eastern Ave Apt A, Baltimore, MD 21224-3692 | 2020-07-30 |
| 1548879018 | Isabel Betancourt | Dietitian, Registered | 3048 Odonnell St Apt 1r, Baltimore, MD 21224-4580 | 2020-07-30 |
| 1245854900 | Erin Shaw | Dietitian, Registered | 1734 Maryland Ave # 200, Baltimore, MD 21201-5804 | 2020-05-29 |
| 1487276234 | Peggy Yen | Dietitian, Registered | 106 1/2 Upnor Rd, Baltimore, MD 21212-3326 | 2020-05-15 |
| 1831724616 | Elena Kunicki | Dietitian, Registered | 777 S Eden St Apt 928, Baltimore, MD 21231-2844 | 2020-03-11 |
| 1720625668 | Ilene Marie Cervantes Del Toro | Dietitian, Registered | 2122 E Lombard St, Baltimore, MD 21231-2019 | 2019-12-10 |
| 1629615661 | Sara Zisow-mcclean | Dietitian, Registered | 2608 Hamilton Ave, Baltimore, MD 21214-1909 | 2019-12-10 |
| 1710523519 | Merritt Athletic Clubs, LLC | Dietitian, Registered | 2058 Lord Baltimore Dr, Baltimore, MD 21244-2501 | 2019-11-27 |
| 1407400849 | Apple Wellness and Nutrition Center | Dietitian, Registered | 708 Nottingham Rd Ste 2, Baltimore, MD 21229-1391 | 2019-07-24 |
| 1821659194 | Elizabeth Glenn | Dietitian, Registered | 300 N Charles St Apt 306, Baltimore, MD 21201-4335 | 2019-06-26 |
| Find all providers in BALTIMORE | ||||
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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.