MS. NOELLE MARIE DESANTIS (NPI# 1740780733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740780733 |
| Entity Type | Individual |
| Full Name | MS. NOELLE MARIE DESANTIS |
| Credential | RD, CDN |
| Practice Address |
3980 Sheridan Dr Ste 401 Amherst NY 14226-1727 |
| Mailing Address |
1207 Delaware Ave Ste 112 Buffalo NY 14209-1458 |
| Practice Telephone | 7167040684 |
| Practice Fax Number | 7166251236 |
| Mailing Telephone | 7164176388 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 009292 | NY | Dietary & Nutritional Service Providers |
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
009292 | NY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417102567 | Noelle Lynn Desantis | Speech-Language Pathologist | 5345 Cobbler Way, Camillus, NY 13031-4307 | 2008-11-17 |
| Street Address |
3980 SHERIDAN DR STE 401 |
| City | AMHERST |
| State | NY |
| Zip Code | 14226-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895271 | Linda S Tosetto | Physician Assistant | 3980 Sheridan Dr, 6th Floor, Amherst, NY 14226-1727 | 2005-07-19 |
| 1902403058 | Elizabeth Cieslak | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2020-10-01 |
| 1952917866 | Nikita Rose Morales | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2020-09-17 |
| 1770196735 | Stephanie Grace Rogers | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2020-08-28 |
| 1467097717 | Torrie Lyn Wydysh | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2019-11-11 |
| 1578030862 | Delaney Shae Fragale | Physician Assistant | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2018-10-25 |
| 1982187811 | Rosanna Dziama | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2018-09-06 |
| 1306322961 | Kelly Stockdill | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2018-07-17 |
| 1912496910 | Traci Aladeen | Pharmacist | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2018-05-04 |
| 1154821452 | Jessica Oswald | Physician Assistant | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2018-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
| 1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
| Find all providers in zip 14226 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308276 | Jennifer Nicole Arnette | Dietitian, Registered | 1207 Delaware Ave Ste 114, Buffalo, NY 14209-1458 | 2020-08-26 |
| 1487200358 | Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, LLC | Dietitian, Registered | 4867 College St, Ashville, NY 14710-9603 | 2019-08-15 |
| 1093219586 | Nutrition Link Services, LLC | Dietitian, Registered | 50 Jeanne Dr, Newburgh, NY 12550-1701 | 2018-03-20 |
| 1275037749 | Jo Ann Brown | Dietitian, Registered | 2233 Caton Ave Apt 6a, Brooklyn, NY 11226-2588 | 2018-03-20 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1770994741 | Juliana Martinez | Dietitian, Registered | 430 West 34th St, Apt. 3k, New York, NY 10001-2310 | 2014-05-13 |
| 1912338120 | Kelly Elaine Gumpel | Dietitian, Registered | 60 Paulding Ave, Tarrytown, NY 10591-5713 | 2013-12-13 |
| 1467898528 | Ilona Ginevic | Dietitian, Registered | One Gustave L. Levy Place, Box 1497, New York, NY 10029 | 2013-05-16 |
| 1114286887 | Ilene Frischer | Dietitian, Registered | 560 Northern Blvd Suite207, Great Neck, NY 11021 | 2012-05-15 |
| 1033492582 | His Rhema Nutrition Services, LLC | Dietitian, Registered | 9050 Parsons Blvd Ste 304, Jamaica, NY 11432-6052 | 2011-09-21 |
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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.