SUSAN RUDALAVAGE (NPI# 1619092970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619092970 |
| Entity Type | Individual |
| Full Name | SUSAN RUDALAVAGE |
| Credential | NUTRITIONIST |
| Practice Address |
640 Madison Avenue Scranton PA 18510 |
| Mailing Address |
746 Jefferson Avenue Scranton PA 18510 |
| Practice Telephone | 5709410630 |
| Practice Fax Number | 5709410648 |
| Mailing Telephone | 5703432383 |
| Mailing Fax Number | 5709636133 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN003044 | PA | Dietary & Nutritional Service Providers |
| Street Address |
640 MADISON AVENUE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| 1295730182 | Leonard J Denis | Internal Medicine | 746 Jefferson Avenue, Suite 305, Scranton, PA 18510 | 2005-06-16 |
| Find all providers in zip 18510 | ||||
| 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 |
|---|---|---|---|---|
| 1578004958 | Kathryn A Borer | Dietitian, Registered | 3222 Doud Ave, Scranton, PA 18505-2980 | 2017-03-17 |
| 1679998413 | Kathryn Egreczky | Dietitian, Registered | Mfhs Inc 315 Colfax Ave, 3rd Floor, Scranton, PA 18510-2524 | 2014-03-04 |
| 1467885483 | Mary Kay A. D'elia | Dietitian, Registered | 425 Alder St Unit 2, Scranton, PA 18505 | 2013-08-13 |
| 1457641409 | Laure Stasik | Dietitian, Registered | 116 S Main Ave, Scranton, PA 18504-2474 | 2011-04-12 |
| 1376156398 | Taylor Jessica Schirra | Dietitian, Registered | 1003 N Keyser Ave, Scranton, PA 18504-9728 | 2020-08-28 |
| 1437668837 | Cynthia Ann Iyoob | Dietitian, Registered | 228 S Main Ave, Scranton, PA 18504-2545 | 2017-09-28 |
| 1053837732 | Laurie Conarton Miller | Dietitian, Registered | 1800 Mulberry St, Scranton, PA 18510-2369 | 2017-08-15 |
| 1750806584 | Gina Mcardle | Dietitian, Registered | 1800 Mulberry St, Scranton, PA 18510-2369 | 2017-08-14 |
| 1952826000 | Lori Theresa Capone | Dietitian, Registered | 1800 Mulberry St, Scranton, PA 18510-2369 | 2017-08-10 |
| 1356730543 | Susan Casey | Dietitian, Registered | 1800 Mulberry St, Scranton, PA 18510-2369 | 2015-01-12 |
| Find all providers in SCRANTON | ||||
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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.