ABIGAIL COLLIS


Address: 63 Shaker Rd Ste 201, Albany, NY 12204-1030
Phone: 5184713636

ABIGAIL COLLIS (NPI# 1598159782) 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) 1598159782
Entity Type Individual
Full Name ABIGAIL COLLIS
Credential RD
Practice Address 63 Shaker Rd Ste 201
Albany
NY 12204-1030
Mailing Address Po Box 14890
Albany
NY 12212-4890
Practice Telephone 5184713636
Mailing Telephone 5185255634
Enumeration Date 2015-03-25
Last Update Date 2020-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 85007039 NY Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2 Empire Dr Ste 100, Rensselaer, NY 121445730 5184713636
5 Palisades Dr Ste 200, Albany, NY 122056433 5184713636
720 Hoosick Rd, Troy, NY 121806673 5184713636
855 Route 146 Ste 150, Clifton Park, NY 120653874 5184713636
2215 Burdett Ave, Troy, NY 121802466 5182713905

Office Location

Street Address 63 SHAKER RD STE 201
City ALBANY
State NY
Zip Code 12204-1030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093712366 Theresa Marie Beshara Nurse Practitioner 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2005-07-01
1306464664 Cori Lynne Rowe Registered Nurse 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2020-07-13
1184267627 Katie Cameron Specialist 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2019-10-28
1225425259 Mohsinah Usmani Internal Medicine 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2015-04-16
1083054332 Jamila Benmoussa Internal Medicine 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2013-07-01
1972943751 Elizabeth Oommen Internal Medicine 63 Shaker Rd Ste 201, Albany, NY 12204 2013-06-26
1215283254 Kara Filardi Mcgovern Nutritionist 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2012-07-27
1992035414 Catherine L. Carey Nutritionist 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2010-01-06
1073753216 Molly B Bederian Dietitian, Registered 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2009-02-28
1245351972 Marcy Pickert Dietitian, Registered 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2007-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568015352 Chanel Bovian Licensed Practical Nurse 587 Broadway Apt.a2, Menands, NY 12204 2019-07-20
1659853513 David Jonathan Brown Driver 456 North Pearl St., Albany, NY 12204 2018-09-06
1255686481 Adam Michael Burman Pharmacist 350 Northern Boulevard, Albany, NY 12204 2012-07-13
1043579196 Victoria Epstein Ophthalmology 63 Shaker Rd Ste 101, Albany, NY 12204 2012-05-10
1306117270 Jacqueline J Swenson Physical Therapist Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 2012-01-24
1730466681 Kathleen C Dalcol Registered Nurse 570 North Pearl Street, North Albany Academy, Albany, NY 12204 2011-11-07
1649592049 Shirley L Savage Licensed Practical Nurse 150 Broadway Ave., Suite 310, Menands, NY 12204 2010-02-26
1801084645 The Embryology Network Clinical Medical Laboratory 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 2007-10-05
1124248430 Prime Care Physicians, P.l.l.c. Internal Medicine 63 Albany Shaker Road, Suite 102, Albany, NY 12204 2007-04-27
1578788204 Antoinette June Holman Licensed Practical Nurse Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 2007-04-16
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912521808 Andrea Marie Pais Dietitian, Registered 113 Holland Ave # 120, Albany, NY 12208-3410 2020-06-05
1154944908 Emily Macintosh Dietitian, Registered 43 New Scotland Ave # 35, Albany, NY 12208-3412 2020-05-27
1932728599 Julie Clark Joiner Dietitian, Registered 425 W 3rd Ave Ste 350, Albany, GA 31701-1941 2020-04-14
1629553995 Christine Marie Penicka Dietitian, Registered 391 Myrtle Ave Ste 3a, Albany, NY 12208-3797 2018-10-02
1023511649 Courtney Lee Dietitian, Registered 30 Picotte Dr # E, Albany, NY 12208-1760 2018-03-09
1992227714 St. Peter's Health Partners Medical Associates, P.C. Dietitian, Registered 319 South Manning Blvd Suite 307, Albany, NY 12208 2017-07-13
1912449919 Jonathan Wymore Dietitian, Registered 620 Elm St Sw # 2, Albany, OR 97321-1986 2016-11-08
1235479387 Albany Psychological Services for Eating Disorders, Pllc Dietitian, Registered 1 Pine West Plz Ste 106, Albany, NY 12205-5531 2013-02-27
1508139718 Alison Marie Szczawinski Dietitian, Registered 20 Rose Ct, Albany, NY 12209-1317 2012-02-17
1376779405 Regina Marie La Tourrette Dietitian, Registered 113 Holland Ave (120), Stratton Va Medical Center, Albany, NY 12208 2009-06-03
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Competitor

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City ALBANY
Zip Code 12204

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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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