JESSICA LEE ALTLAND (NPI# 1659702876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659702876 |
| Entity Type | Individual |
| Full Name | JESSICA LEE ALTLAND |
| Credential | RD |
| Practice Address |
30 Hatfield Ln Suite 107 Goshen NY 10924-6766 |
| Mailing Address |
5 Pevero Dr Unit 3 Vernon NJ 07462-2570 |
| Practice Telephone | 8456511400 |
| Mailing Telephone | 2012972197 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 007920 | NY | Dietary & Nutritional Service Providers |
| Street Address |
30 HATFIELD LN SUITE 107 |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-6766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511992 | Rachel Colvin | Internal Medicine | 30 Hatfield Ln, Suite 208, Goshen, NY 10924-6766 | 2005-10-06 |
| 1154874139 | Madeleine Banulski Ziegler | Registered Nurse | 30 Hatfield Ln, Suite 101, Goshen, NY 10924 | 2016-07-26 |
| 1598130403 | Harriman Partners LLC | Clinic/Center | 30 Hatfield Ln, Bldg 2, Goshen, NY 10924-6783 | 2015-12-03 |
| 1548630494 | Michelle Dunn | Occupational Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2015-10-05 |
| 1518363530 | Julie Benzenberg | Physical Therapist | 30 Hatfield Ln, Suite 201, Goshen, NY 10924-6766 | 2014-11-18 |
| 1255676672 | Phillip Bautista | Physical Therapy Assistant | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2012-12-11 |
| 1093091134 | Gregory Redding | Physical Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2011-11-02 |
| 1619251006 | Shane Henderson | Physical Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2011-10-04 |
| 1356640056 | Gloria Verdino | Dietitian, Registered | 30 Hatfield Ln, Suite 109, Goshen, NY 10924-6766 | 2011-03-21 |
| 1962700401 | Maryke Louise Troast | Registered Nurse | 30 Hatfield Ln, Suite 101, Goshen, NY 10924-6766 | 2011-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| 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 |
|---|---|---|---|---|
| 1548557119 | Whitney Lea Gingerich | Dietitian, Registered | 57283 County Road 117, Goshen, IN 46528-7030 | 2011-07-05 |
| 1528061207 | Evelyn B. King | Dietitian, Registered | 808 N 3rd St, Goshen, IN 46528-7100 | 2005-05-24 |
| 1952940538 | Adrianne Osano | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-12-31 |
| 1427695642 | Neltje Ribbens | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-12-06 |
| 1699232553 | Maya Bar-zvi | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-02-27 |
| 1386169530 | Ashley Outman | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2017-08-09 |
| 1588119739 | Allyson Mast | Dietitian, Registered | 1130 Professional Dr, Goshen, IN 46526-3819 | 2016-08-17 |
| 1497127252 | Tiffany Autumn Swartzentruber | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2015-10-20 |
| 1013388131 | Justine Brook Miller | Dietitian, Registered | 710 S 13th St, Goshen, IN 46526-4134 | 2015-10-15 |
| 1356640056 | Gloria Verdino | Dietitian, Registered | 30 Hatfield Ln, Suite 109, Goshen, NY 10924-6766 | 2011-03-21 |
| Find all providers in GOSHEN | ||||
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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.