SHANNON ROQUE (NPI# 1790972313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790972313 |
| Entity Type | Individual |
| Full Name | SHANNON ROQUE |
| Credential | RDN |
| Practice Address |
435 South St Morristown NJ 07960-6422 |
| Mailing Address |
Po Box 416457 Boston MA 02241-7983 |
| Practice Telephone | 9739717166 |
| Practice Fax Number | 9732907518 |
| Mailing Telephone | 8443621735 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 960240 | NJ | Dietary & Nutritional Service Providers |
| Street Address |
435 SOUTH ST |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506749 | Darius John Adams | Medical Genetics | 435 South St, Morristown, NJ 07960-6440 | 2005-05-24 |
| 1063038008 | Jessalyn Ariel Gerber | Genetic Counselor, MS | 435 South St, Morristown, NJ 07960-6422 | 2020-06-24 |
| 1063063808 | Maria Rose Carter | Dietitian, Registered | 435 South St, Morristown, NJ 07960-6422 | 2019-09-23 |
| 1124599071 | Kunal J Shah | Pharmacist | 435 South St, Morristown, NJ 07960-6422 | 2018-12-17 |
| 1902372824 | Jenessa Dieterle | Nurse Practitioner | 435 South St, Morristown, NJ 07960-6422 | 2018-10-18 |
| 1003321183 | Morristown Medical Center Family Pracitice | Clinic/Center | 435 South St, Morristown, NJ 07960-6422 | 2017-12-11 |
| 1356725683 | Tanya Santoro | Nurse Practitioner | 435 South St, Suite 220b, Morristown, NJ 07960-6422 | 2015-07-16 |
| 1124402904 | Jennifer Grande Chieppa | Nurse Practitioner | 435 South St, Suite 220a, Morristown, NJ 07960-6422 | 2015-07-12 |
| 1568853208 | Victoria M Cywin | Nurse Practitioner | 435 South St, Suite 250, Morristown, NJ 07960-6422 | 2015-02-17 |
| 1255736948 | Renee Comizio Md LLC | Surgery | 435 South St, Suite 360, Morristown, NJ 07960-6422 | 2014-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| 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 |
|---|---|---|---|---|
| 1689291452 | Lisa Davis | Dietitian, Registered | 5155 Crystal Brook Dr, Morristown, TN 37814-1598 | 2020-06-28 |
| 1316404080 | Kim M Gately | Dietitian, Registered | 95 Madison Ave Ste B00, Morristown, NJ 07960-6093 | 2019-02-28 |
| 1699288332 | Lindsay Hammond-schumacher | Dietitian, Registered | 101 Madison Ave Ste 107, Morristown, NJ 07960-7305 | 2017-11-15 |
| 1710332226 | Rahmina Mutlib | Dietitian, Registered | 34 Mills St, Morristown, NJ 07960-3718 | 2016-05-03 |
| 1205201969 | Dana Christine Mclaughlin | Dietitian, Registered | 48 Court St, Apt 10b, Morristown, NJ 07960-5151 | 2015-12-07 |
| 1376774026 | Karla Marie Gabre | Dietitian, Registered | 65 Madison Ave, Suite 540, Morristown, NJ 07960-7354 | 2009-07-29 |
| 1194926535 | Jennifer A Tomesko | Dietitian, Registered | 8 John Glenn Rd, Morristown, NJ 07960-5612 | 2007-05-31 |
| 1447461033 | North Jersey Nutrition | Dietitian, Registered | 15 Exeter Ln, Morristown, NJ 07960-6382 | 2007-05-24 |
| 1295946887 | Nutrition Works, LLC | Dietitian, Registered | 32 Dehart St, Morristown, NJ 07960-5210 | 2007-05-24 |
| 1710004726 | Mary Finckenor | Dietitian, Registered | 111 Madison Ave Ste 304, Morristown, NJ 07960-6097 | 2007-03-23 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
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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.