MR. NATHAN NITKA (NPI# 1760807259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760807259 |
| Entity Type | Individual |
| Full Name | MR. NATHAN NITKA |
| Credential | RD, CD |
| Practice Address |
1205 North Ave Cleveland WI 53015-1413 |
| Practice Telephone | 9206935600 |
| Mailing Telephone | 9206935600 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2677-29 | WI | Dietary & Nutritional Service Providers |
| Street Address |
1205 NORTH AVE |
| City | CLEVELAND |
| State | WI |
| Zip Code | 53015-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295060275 | Tao Lee | Nurse Practitioner | 1205 North Ave, Cleveland, WI 53015-1413 | 2009-10-08 |
| 1184860124 | Carrie Lynne Oakley | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2008-12-22 |
| 1841496486 | Charlene Mae Baumgartner | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2007-06-21 |
| 1013010024 | Amy Sue Mckenzie | Counselor | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-09-06 |
| 1154337558 | Cleveland Va Cboc | Clinic/Center | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-31 |
| 1417961590 | Jamie Lauren Olsen | Dietitian, Registered | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-27 |
| 1174537245 | Sue E. Thobaben | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-27 |
| 1255354064 | Carol Ilma Jacobs | Nurse Practitioner | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-25 |
| 1881614683 | Agnes E Deehr | Licensed Practical Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-21 |
| 1891715884 | Michael James Sheridan | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942392428 | Gary J Kunz | Nurse Practitioner | 1205 North Avenue, Cleveland, WI 53015 | 2006-09-29 |
| 1437611159 | Tss Equipment Company | Technician, Other | 14302 Pigeon River Rd, Cleveland, WI 53015-1158 | 2019-04-02 |
| 1023275013 | Lakeshore Community Dental Clinic | Clinic/Center | 1290 North Ave, Lakeshore Community Dental Clinic, Cleveland, WI 53015-1412 | 2008-05-19 |
| 1114290384 | Michelle Ann Hemb | Licensed Practical Nurse | 1345 W Washington Ave, Cleveland, WI 53015-1430 | 2012-02-17 |
| 1730653783 | Miranda Jost | Registered Nurse | N9548 Highway 42, Cleveland, WI 53015-1628 | 2019-01-13 |
| 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 |
|---|---|---|---|---|
| 1760089411 | Staci Cortelezzi | Dietitian, Registered | 2322 E 22nd St Ste 207, Cleveland, OH 44115-3100 | 2020-10-06 |
| 1679186811 | Megan Snook Maisano | Dietitian, Registered | 424 Literary Rd, Cleveland, OH 44113-4512 | 2020-08-27 |
| 1902417058 | On The Move Nutrition | Dietitian, Registered | 9712 Baltic Rd, Cleveland, OH 44102-1719 | 2020-08-12 |
| 1518577816 | Lora Pauline Silver | Dietitian, Registered | 8819 Quincy Ave Ste 130, Cleveland, OH 44106-3419 | 2020-08-03 |
| 1881217966 | Anthony Steven Beard | Dietitian, Registered | 13 Croyden Rd, Cleveland, OH 44110-1008 | 2020-05-22 |
| 1770115495 | Abigail Taft | Dietitian, Registered | 725 Johnson Ct Apt 219, Cleveland, OH 44113-1357 | 2020-02-11 |
| 1114564788 | Lindsey Letellier | Dietitian, Registered | 1111 Superior Ave E Ste 1601, Cleveland, OH 44114-2568 | 2019-12-03 |
| 1013558931 | Bernisha Player Roulette | Dietitian, Registered | 1515 E 107th St, Cleveland, OH 44106-1829 | 2019-10-02 |
| 1679036446 | Miranda Yvonne Kashian | Dietitian, Registered | 9500 Euclid Ave # M1-141a, Cleveland, OH 44195-0001 | 2019-04-09 |
| 1467916684 | Richard Boye | Dietitian, Registered | 48 Waterfall Dr, Cleveland, GA 30528-4288 | 2019-01-23 |
| Find all providers in CLEVELAND | ||||
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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.