PERSONALIZED HEALTH NUTRITION, PLLC (NPI# 1639563653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639563653 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED HEALTH NUTRITION, PLLC |
| Practice Address |
3675 Southwestern Blvd Orchard Park NY 14127-1732 |
| Mailing Address |
Po Box 281 Lancaster NY 14086 |
| Practice Telephone | 7167107022 |
| Mailing Telephone | 7167107022 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | CANDI POSSINGER (OWNER/CEO) |
| Authorized Official Telephone | 7165121147 |
| Authorized Official Credential | MS,RD,CDN,CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 005387 | NY | Dietary & Nutritional Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PERSONALIZED HEALTH NUTRITION, PLLC | 39 Highland Avenue, Orchard Park, Ny 14127 |
| Street Address |
3675 SOUTHWESTERN BLVD |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052667 | Guy M Whalen | Internal Medicine | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2005-12-02 |
| 1780054361 | Carolyn H Nelson | Dietitian, Registered | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2015-09-25 |
| 1447670203 | Lauren L Steinmetz | Family Medicine | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2014-04-21 |
| 1538414396 | Lindsay Marie Gillon | Dietitian, Registered | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2012-07-18 |
| 1619998374 | Betsey Dechert-boss | Registered Nurse | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2006-07-21 |
| 1871547463 | Amy Lynn Wnek | Internal Medicine | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2006-05-19 |
| 1750339693 | Stephen Reinhart | Physician Assistant | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2006-05-04 |
| 1194782425 | Loraine Ippolito | Nurse Practitioner | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2006-04-28 |
| 1942267455 | Southwestern Medical Associates, LLP | Internal Medicine | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2006-04-27 |
| 1568442465 | Gail R Goodman | Pediatrics | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| 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 |
|---|---|---|---|---|
| 1255959136 | Erica Rose Smolinski | Dietitian, Registered | 200 Sterling Dr Ste 201, Orchard Park, NY 14127-1577 | 2020-07-08 |
| 1396928081 | Barbara Ann Bowen | Dietitian, Registered | 138 Breezewood Drive, Orchard Park, NY 14127 | 2007-12-17 |
| 1043783400 | Christina Mandolfo | Dietitian, Registered | 3685 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2019-01-09 |
| 1851801815 | Katherine Ann Schaeffer | Dietitian, Registered | 3671 Southwestern Blvd, Suite 101, Orchard Park, NY 14127-1752 | 2017-10-04 |
| 1932636362 | Erin Burch Nutrition, Pllc | Dietitian, Registered | 3875 N Buffalo St, Orchard Park, NY 14127-1883 | 2017-05-16 |
| 1639628811 | Nicole L Moretta | Dietitian, Registered | 3671 Southwestern Blvd., St 101, Orchard Park, NY 14127 | 2016-09-28 |
| 1780054361 | Carolyn H Nelson | Dietitian, Registered | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2015-09-25 |
| 1538414396 | Lindsay Marie Gillon | Dietitian, Registered | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2012-07-18 |
| 1619111911 | Nutrition Concepts | Dietitian, Registered | 3685 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2009-04-30 |
| 1609019645 | Christine Conley Reeb | Dietitian, Registered | 3685 Southwestern Blvd, Orchard Park, NY 14127 | 2009-04-07 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.