CHRISTINE MARIE PENICKA (NPI# 1629553995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629553995 |
| Entity Type | Individual |
| Full Name | CHRISTINE MARIE PENICKA |
| Credential | MS, RD |
| Practice Address |
391 Myrtle Ave Ste 3a Albany NY 12208-3797 |
| Practice Telephone | 5182625588 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86101200 | Dietary & Nutritional Service Providers |
| Street Address |
391 MYRTLE AVE STE 3A |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003463001 | Amelia Rae Koethen | Counselor | 391 Myrtle Ave Ste 3a, Albany, NY 12208-3797 | 2019-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1548450810 | Patti Pinkerton Moon | Dietitian, Registered | 825 Evelyn Ave, Albany, CA 94706 | 2007-08-01 |
| Find all providers in ALBANY | ||||
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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.