SHANTELLE M BETHEA (NPI# 1548629850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548629850 |
| Entity Type | Individual |
| Full Name | SHANTELLE M BETHEA |
| Credential | RDN |
| Practice Address |
8116 Good Luck Rd Ste 210 Lanham MD 20706-3502 |
| Mailing Address |
Po Box 418056 Boston MA 02241-8056 |
| Practice Telephone | 2409654406 |
| Practice Fax Number | 8664476687 |
| Mailing Telephone | 2049654406 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DX3601 | MD | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | DI100000448 | DC | Dietary & Nutritional Service Providers |
| Street Address |
8116 GOOD LUCK RD STE 210 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192426 | Don Harris Yablonowitz | Internal Medicine | 8116 Good Luck Rd, Ste 300, Lanham, MD 20706-3502 | 2005-05-27 |
| 1982153854 | Alexander Pei | Nurse Practitioner | 8116 Good Luck Rd, Suite 305, Lanham, MD 20706-3502 | 2016-10-03 |
| 1003289968 | Melissa Dana Ramsey | Nurse Practitioner | 8116 Good Luck Rd, Ste 215, Lanham, MD 20706-3502 | 2015-11-01 |
| 1285003558 | Lea Medical Partners, LLC | Physical Medicine & Rehabilitation | 8116 Good Luck Rd, Suite 205, Lanham, MD 20706-3502 | 2015-09-17 |
| 1255711198 | Capital Orthopaedic Specialists LLC | Dietitian, Registered | 8116 Good Luck Rd, Suite 200, Lanham, MD 20706-3502 | 2015-06-05 |
| 1497133235 | Capital Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 8116 Good Luck Rd, Suite 200, Lanham, MD 20706-3502 | 2015-05-13 |
| 1639566763 | Bethany Garner | Speech-Language Pathologist | 8116 Good Luck Rd, Lanham, MD 20706-3502 | 2015-04-15 |
| 1609205046 | Claire Dipiero | Physician Assistant | 8116 Good Luck Rd, Suite 305, Lanham, MD 20706-3502 | 2013-11-06 |
| 1902147424 | Keisha Sims | Speech-Language Pathologist | 8116 Good Luck Rd, Lanham, MD 20706-3502 | 2013-03-07 |
| 1477892545 | Metropolitan Neurosurgery Group Associates, LLC | Neurological Surgery | 8116 Good Luck Rd, Suite 205, Lanham, MD 20706-3502 | 2013-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| 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 |
|---|---|---|---|---|
| 1184250821 | Teymi-elise Herring | Dietitian, Registered | 8100 Good Luck Rd Ste 500, Lanham, MD 20706-3500 | 2020-03-13 |
| 1902320237 | Helen Naylor | Dietitian, Registered | 9915 Greenbelt Rd Apt 203, Lanham, MD 20706 | 2017-07-28 |
| 1710228242 | Kianna Tamara Silvera | Dietitian, Registered | Hcd International, 4390 Parliament Place Suite A, Lanham, MD 20706 | 2013-03-07 |
| 1457985889 | Aamg Physical Therapy, LLC | Dietitian, Registered | 8116 Good Luck Rd Ste 205, Lanham, MD 20706-3508 | 2020-02-25 |
| 1902447113 | Deletra Harmon | Dietitian, Registered | 8116 Good Luck Rd Ste 210, Lanham, MD 20706-3508 | 2019-09-30 |
| 1487183075 | Capital Orthopaedic Specialists LLC | Dietitian, Registered | 8116 Good Luck Rd Ste 210, Lanham, MD 20706-3508 | 2017-06-07 |
| 1255711198 | Capital Orthopaedic Specialists LLC | Dietitian, Registered | 8116 Good Luck Rd, Suite 200, Lanham, MD 20706-3502 | 2015-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609791 | Emily Chapman | Dietitian, Registered | 8901 Rockville Pike Rm 348, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1629679436 | Anna Carey Smith | Dietitian, Registered | 8901 Rockville Pike Rm 3103, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1124629761 | Chantelle A Raines | Dietitian, Registered | 4560 Crain Hwy Ste 1, White Plains, MD 20695-3084 | 2020-11-02 |
| 1295336881 | Luminita Alina Bota | Dietitian, Registered | 4560 Crain Hwy Ste 101, White Plains, MD 20695-3084 | 2020-11-02 |
| 1174123962 | Rachel Coury | Dietitian, Registered | 539 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-29 |
| 1699373761 | Bailey Elizabeth Saneman | Dietitian, Registered | 2102 Wiley Rd, Jarrettsville, MD 21084-1801 | 2020-10-12 |
| 1770180176 | Nu Flora LLC | Dietitian, Registered | 10904 Gunpowder Dr, Fort Washington, MD 20744-4155 | 2020-10-08 |
| 1407453228 | Caroline Pearson Tussing | Dietitian, Registered | 11237 Greenspring Ave, Lutherville Timonium, MD 21093-3510 | 2020-10-05 |
| 1568069557 | Huong Nguyen | Dietitian, Registered | 2262 Audrey Manor Ct, Waldorf, MD 20603-4918 | 2020-10-03 |
| 1316544562 | Paige Kalyani | Dietitian, Registered | 118 E Oak Ridge Dr Ste 1100, Hagerstown, MD 21740-7793 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANTELLE M BETHEA.
| 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.