MARTHA R WASSERBAUER


Address: Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901
Phone: 5183242040

MARTHA R WASSERBAUER (NPI# 1760950372) 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) 1760950372
Entity Type Individual
Full Name MARTHA R WASSERBAUER
Credential RDN
Practice Address Mountain View Pediatrics
18 Feathers Drive
Plattsburgh
NY 12901
Practice Telephone 5183242040
Practice Fax Number 5183242041
Mailing Telephone 5183242040
Mailing Fax Number 5183242041
Enumeration Date 2018-11-13
Last Update Date 2018-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 136A00000X Dietetic Technician, Registered 86094602 NY Dietary & Nutritional Service Providers

Office Location

Street Address MOUNTAIN VIEW PEDIATRICS
18 FEATHERS DRIVE
City PLATTSBURGH
State NY
Zip Code 12901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215498837 Benjamin C Verdow Dietitian, Registered Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901-6461 2019-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093284721 Get Movin Inc Non-emergency Medical Transport (VAN) 316 Cornelia St, 21a, Plattsburgh, NY 12901 2018-11-26
1528536141 Inmaculada Ibanez-casas Technician Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 2018-11-13
1568958411 Joel Cherian Student in an Organized Health Care Education/Training Program 159 Margaret St Ste 100, Plattsburgh, NY 12901 2018-07-03
1396284477 Florence Reynaud Acupuncturist 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 2017-02-22
1124565783 Mytchel Hector Registered Nurse 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 2017-01-20
1780136697 Michael Bruso Psychologist 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 2016-10-26
1902357536 Ashley Patricia Cota Nurse Practitioner 214 Cornelia St., Plattsburgh, NY 12901 2016-10-19
1255703310 Kenneth Wayne Ackley Licensed Practical Nurse 16 Ampersand Drive, Plattsbugh, NY 12901 2015-10-28
1275949448 Shanni Lee Hicks Specialist 63 Arnold Rd, Plattsburgh, NY 12901 2014-07-08
1730590845 Rachel Flemming Speech-Language Pathologist 22 New York Road, North Country Kids, Inc., Plattsburgh, NY 12901 2014-05-12
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Taxonomy Information

Taxonomy Code 136A00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietetic Technician, Registered

Taxonomy Definition

A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780282848 Katie Anne Dowd Dietetic Technician, Registered 712 Oak Neck Rd, West Islip, NY 11795-3619 2020-10-12
1962018937 Angela Claire Schiz Dietetic Technician, Registered Balance 3h Plus Medical Weight Loss Center, 450 Mamaroneck Ave Suite #413, Harrison, NY 10528 2020-09-16
1649817438 Natalya Pigulskaya Dietetic Technician, Registered 1648 E 14th St Apt 3c, Brooklyn, NY 11229-1111 2019-11-29
1730653031 Erin Marchefka Dietetic Technician, Registered 210 S Bellinger St, Herkimer, NY 13350-2210 2019-01-20
1699148031 Patricia Scalise Dietetic Technician, Registered 12 Rimlet Dr, Commack, NY 11725-1931 2015-11-06
1497883383 Catherine Mary Sanchez Dietetic Technician, Registered 9 Skidmore Pl, West Islip, NY 11795-4336 2007-03-01
1003923723 Kathryn M. Martin Dietetic Technician, Registered 92 Geneva St, Bath, NY 14810-9503 2006-08-25
1306478722 Eileen Joyce Sharrow Dietetic Technician, Registered 214 King St, Ogdensburg, NY 13669 2020-02-05
1942705397 Deborah Ann Johnson Dietetic Technician, Registered 207 Foote Ave, Jamestown, NY 14701-7077 2018-03-28
1396240941 Janine Kae Brady Dietetic Technician, Registered 207 Foote Ave, Jamestown, NY 14701-7077 2018-03-27
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Competitor

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City PLATTSBURGH
Zip Code 12901

Improve Information

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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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