MRS. LISA ANNE YARAH (NPI# 1467852889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467852889 |
| Entity Type | Individual |
| Full Name | MRS. LISA ANNE YARAH |
| Other Name | LISA ANNE PETROCCI |
| Credential | RDN |
| Practice Address |
321 Gifford St Syracuse NY 13204-3201 |
| Practice Telephone | 3157032600 |
| Practice Fax Number | 3157032621 |
| Mailing Telephone | 3157032600 |
| Mailing Fax Number | 3157032621 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
005342 | NY | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 005342-1 | NY | Dietary & Nutritional Service Providers |
| Street Address |
321 GIFFORD ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336104900 | Luis J Castro | Family Medicine | 321 Gifford St, St Joseph's Primary Care Center West, Syracuse, NY 13204-3201 | 2006-04-18 |
| 1710339452 | Christine Dec | Nurse Practitioner | 321 Gifford St, Syracuse, NY 13204-3201 | 2016-07-06 |
| 1891176624 | Jessica Wilcox | Family Medicine | 321 Gifford St, Syracuse, NY 13204 | 2015-06-17 |
| 1710380076 | Rachel E. Rombough | Nurse Practitioner | 321 Gifford St, Syracuse, NY 13204-3201 | 2014-10-01 |
| 1194168922 | Linda Caroline Bartlett | Nurse Practitioner | 321 Gifford St, Family Medicine, Syracuse, NY 13204-3201 | 2013-04-11 |
| 1245584101 | Marino Odeng Mauro | Physician Assistant | 321 Gifford St, Primary Care Center West, Syracuse, NY 13204-3201 | 2012-10-30 |
| 1417278912 | Erika Hegland | Family Medicine | 321 Gifford St, Primary Care, Syracuse, NY 13204-3201 | 2010-06-18 |
| 1659469856 | Helen Mary Oneill | Nurse Practitioner | 321 Gifford St, Syracuse, NY 13204-3201 | 2006-10-11 |
| 1952415747 | Joanne B Lavigne | Registered Nurse | 321 Gifford St, Pediatrics, Syracuse, NY 13204-3201 | 2006-08-18 |
| 1366490039 | Lisaann Gaffney | Pediatrics | 321 Gifford St, Syracuse, NY 13204-3201 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| 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 |
|---|---|---|---|---|
| 1194336248 | Amanda E Vadala | Dietitian, Registered | 216 Conklin Ave, Syracuse, NY 13206 | 2020-08-12 |
| 1386252716 | Gregory M Belzak | Dietitian, Registered | 108 Ormsby Dr, Syracuse, NY 13219-3117 | 2020-07-22 |
| 1871135863 | Leah Webster | Dietitian, Registered | 100 Huckleberry Ln, Syracuse, NY 13219-2114 | 2019-10-11 |
| 1376019711 | Rachel Lauren Watkins | Dietitian, Registered | 3300 James St Ste 4, Syracuse, NY 13206-2670 | 2018-10-23 |
| 1790221984 | Kathleen Mary Bump | Dietitian, Registered | 300 Halton Rd, Syracuse, NY 13224-2228 | 2017-01-11 |
| 1093017485 | Jennifer A Brady | Dietitian, Registered | 1966 S 2590 W, Syracuse, UT 84075-7022 | 2010-11-17 |
| 1518271808 | Heather Lynn Neely | Dietitian, Registered | 765 Irving Avenue, Marley Education Center, Suite 229, Syracuse, NY 13210 | 2010-07-29 |
| 1942332804 | Cynthia Todd | Dietitian, Registered | 600 S. Wilbur Ave., Horizons Clinic, Arc of Onondaga, Syracuse, NY 13204 | 2007-03-09 |
| 1770529497 | Marilyn Frances Crosby | Dietitian, Registered | 3779 Pegasus Circle, Syracuse, NY 13209-9504 | 2006-06-21 |
| 1275500621 | Donna L Acox | Dietitian, Registered | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2006-03-03 |
| Find all providers in SYRACUSE | ||||
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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.