MS. KIRA PANTSCHENKO


Address: 70 Ridgefield Rd, Wilton, CT 06897-3005
Phone: 2037625591

MS. KIRA PANTSCHENKO (NPI# 1447718895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447718895
Entity Type Individual
Full Name MS. KIRA PANTSCHENKO
Credential DTR
Practice Address 70 Ridgefield Rd
Wilton
CT 06897-3005
Mailing Address 7 Deepwood Ln
Westport
CT 06880-1317
Practice Telephone 2037625591
Mailing Telephone 2034426027
Enumeration Date 2019-03-05
Last Update Date 2019-03-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 136A00000X Dietetic Technician, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 70 RIDGEFIELD RD
City WILTON
State CT
Zip Code 06897-3005

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1154747798 Llonel Laxamana De Dios Physical Therapist 44 Old Ridgefield, Road Suite 213 Fox Rehab Connecticut Regional Office, Wilton, CT 06897 2014-03-06
1679911937 Colleen Nee Social Worker 29 School St (route 107/redding Rd), Wilton, CT 06897 2013-06-10
1104123397 Xin Wen Shi Physical Therapist 64 Danbury Road, Wilton, CT 06897 2011-02-24
1942434428 Wilton Retirement Housing, LLC Assisted Living Facility 435 Danbury Rd., Wilton, CT 06897 2009-05-12
1891965257 Ronald E. Ponchak, Pt, PC Clinic/Center 1 Danbury Road, Wilton, CT 06897 2008-03-01
1649478199 Mary Steinowitz Physical Therapist 345 Belden Hill Road, Wilton, CT 06897 2007-07-06
1871708503 Robin H Canter Social Worker 237 Danbury Road, Stillpoint Counseling, LLC, Wilton, CT 06897 2007-05-14
1073727541 Elizabeth Rene Sirois Occupational Therapy Assistant 63 Danbury Road, Wilton, CT 06897 2007-05-10
1013132877 Moore Center for Rehabilitation of Wilton, LLC Physical Therapist 37 Danbury Road, Wilton, CT 06897 2007-04-16
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Taxonomy Information

Taxonomy Code 136A00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietetic Technician, Registered

Taxonomy Definition

A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881168193 Cindy Elizabeth Mcauliffe Dietetic Technician, Registered 13 Barwood Mnr, Unionville, CT 06085-1211 2019-01-20
1801123856 Melissa A Sullivan Dietetic Technician, Registered 95 Woodland St, Suite 200, Hartford, CT 06105-1230 2009-11-12
1083801591 Carol Ann Bernard Dietetic Technician, Registered 71 Haynes Street, Manchester Memorial Hospital, Manchester, CT 06040 2007-09-28

Competitor

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City WILTON
Zip Code 06897

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Dataset Information

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.

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