ALTANAH MIRIAM CORELLI (NPI# 1689045304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689045304 |
| Entity Type | Individual |
| Full Name | ALTANAH MIRIAM CORELLI |
| Credential | RPN, RD, CDE |
| Practice Address |
2001 5th Ave Suite 110 Troy NY 12180-3482 |
| Practice Telephone | 5186871960 |
| Practice Fax Number | 5186871970 |
| Mailing Telephone | 5186871960 |
| Mailing Fax Number | 5186871970 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 004680 | NY | Dietary & Nutritional Service Providers |
| N | 163W00000X | Registered Nurse | 632682 | NY | Nursing Service Providers |
| Street Address |
2001 5TH AVE SUITE 110 |
| City | TROY |
| State | NY |
| Zip Code | 12180-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528034105 | Stephanie Kugler | Dietitian, Registered | 2001 5th Ave, 3rd Floor, Troy, NY 12180-3340 | 2006-02-24 |
| 1811435217 | Laurie Lavin | Nurse Practitioner | 2001 5th Ave, Troy, NY 12180-3482 | 2017-02-06 |
| 1144762725 | Shirley Hernandez | Social Worker | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2016-11-14 |
| 1578915765 | Heather Harris | Nurse Practitioner | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2016-07-12 |
| 1942676218 | Leah Esther- Simone Hallow | Psychologist | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2015-08-20 |
| 1114340510 | Upstate Physician Services, PC | Psychologist | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2014-01-22 |
| 1548526726 | Capital Region Otolaryngology Head & Neck Group | Specialist | 2001 5th Ave, Troy, NY 12180 | 2012-04-02 |
| 1487942975 | Stephanie Willoughby | Nurse Practitioner | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2011-07-18 |
| 1053540351 | Mustafain Y Meghani | Internal Medicine | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2009-07-08 |
| 1235380809 | Pediatric Associates of Troy Pllc | Clinic/Center | 2001 5th Ave, Troy, NY 12180-3340 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| 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 |
|---|---|---|---|---|
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1750998472 | Courtney Paige Huff | Dietitian, Registered | 129 Westborough Dr, Troy, MO 63379-4443 | 2020-09-27 |
| 1780160879 | Dominic Paul Marro | Dietitian, Registered | 15 S Lake Ave, Troy, NY 12180-2725 | 2018-07-12 |
| 1225529662 | Dana Nichole Henry | Dietitian, Registered | 132 Glen Cir, Troy, VA 22974-3031 | 2018-05-22 |
| 1255608873 | Brahmlin Sethi | Dietitian, Registered | 700 E Big Beaver Rd Ste B, Troy, MI 48083-1435 | 2011-11-28 |
| 1992096655 | Rebecca Marie Gonter-dray | Dietitian, Registered | 475 N Dorset Rd, Troy, OH 45373-2453 | 2011-04-28 |
| 1639316581 | Nutrition Therapy, LLC | Dietitian, Registered | 700 E Big Beaver Rd, Suite B, Troy, MI 48083-1435 | 2009-01-14 |
| 1952472466 | Kay Callahan Pomeroy | Dietitian, Registered | 6896 Emerald Shores Dr, Troy, MI 48085-1438 | 2006-11-13 |
| 1528034105 | Stephanie Kugler | Dietitian, Registered | 2001 5th Ave, 3rd Floor, Troy, NY 12180-3340 | 2006-02-24 |
| 1972148526 | Lauren Marie Baker | Dietitian, Registered | 1777 Axtell Dr Ste 202, Troy, MI 48084-4435 | 2019-11-07 |
| Find all providers in TROY | ||||
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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.