COLLEEN ANN MCGONIGAL


Address: 5030 Bond Ave, Drexel Hill, PA 19026-4713
Phone: 6103898599

COLLEEN ANN MCGONIGAL (NPI# 1750815569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750815569
Entity Type Individual
Full Name COLLEEN ANN MCGONIGAL
Credential RD
Practice Address 5030 Bond Ave
Drexel Hill
PA 19026-4713
Practice Telephone 6103898599
Enumeration Date 2017-04-18
Last Update Date 2017-04-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DN006029 PA Dietary & Nutritional Service Providers

Office Location

Street Address 5030 BOND AVE
City DREXEL HILL
State PA
Zip Code 19026-4713

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

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NPI Name Taxonomy Address Enumeration
1003417593 April Christine Hawkins Dietitian, Registered 408 Blacklatch Ln, Camp Hill, PA 17011-8414 2020-11-03
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1518568088 Laura Rose Alfieri Dietitian, Registered 850 E Water Street Ext, Smethport, PA 16749-2024 2020-11-02
1679174122 Erika Marie Johnson Dietitian, Registered 1111 Franklin St Ste 180, Johnstown, PA 15905-4341 2020-11-02
1184224206 Madison Demoss Dietitian, Registered 43 Brinker Dr, Doylestown, PA 18901-7008 2020-10-28
1124628201 Shannon Lynch Dietitian, Registered 8 E Pine St Apt 1, Enola, PA 17025-2827 2020-10-28
1205434818 Shannan Marie Stewart Dietitian, Registered 770 Miles Rd Ste 1, West Chester, PA 19380-1950 2020-10-15
1992303135 Sneha Lakhotia Dietitian, Registered 200 Possum Way, Clarks Green, PA 18411-8988 2020-10-10
1407453210 Susan Anne Zikos Dietitian, Registered 229 Edelweiss Dr, Wexford, PA 15090-9454 2020-10-05
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Competitor

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City DREXEL HILL
Zip Code 19026

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Dataset Information

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.

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