MARY ELIZABETH DEGNAN (NPI# 1821328758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821328758 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH DEGNAN |
| Credential | MS RD |
| Practice Address |
621 10th St Niagara Falls NY 14301-1813 |
| Mailing Address |
176 B Highland Drive Williamsville NY 14221-1235 |
| Practice Telephone | 7162784360 |
| Practice Fax Number | 7162784266 |
| Mailing Telephone | 7169572285 |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2011-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
007089 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 8668370241 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205989688 | Mary Ellen Degnan | Psychologist | 108 E Green Meadows Rd Ste 5, Columbia, MO 65203-3633 | 2007-01-19 |
| Street Address |
621 10TH ST |
| City | NIAGARA FALLS |
| State | NY |
| Zip Code | 14301-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457332462 | Muriel Forte | Registered Nurse | 621 10th St, Niagara Falls, NY 14301-1813 | 2005-11-07 |
| 1790396877 | Jennifer Anne Tracy | Nurse Practitioner | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-08-12 |
| 1790393585 | John Anthony Copas | Nurse Practitioner | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-07-17 |
| 1437767647 | Ryan Paul Vansice | Pharmacist | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-07-14 |
| 1376169409 | Maggen (meg) Daunce | Counselor | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-06-24 |
| 1144842816 | Niagara Falls Memorial Medical Center | General Acute Care Hospital | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-05-15 |
| 1487275749 | Jaspinderpal Singh Bhullar | Student in an Organized Health Care Education/Training Program | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-04-28 |
| 1033738125 | Huma Tahir | Student in an Organized Health Care Education/Training Program | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-04-09 |
| 1295372498 | Maureen Velasco | Physical Therapist | 621 10th St, Niagara Falls, NY 14301-1813 | 2019-12-06 |
| 1467099606 | Karon Hubert | Physical Therapist | 621 10th St, Niagara Falls, NY 14301-1813 | 2019-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559354 | Shelita H Pugh | Licensed Practical Nurse | 1320 Lasalle Ave., Niagara Falls, NY 14301 | 2020-08-20 |
| 1043664758 | Sevan Evren | Internal Medicine | 533 Tenth Street, Niagara Falls, NY 14301 | 2016-04-19 |
| 1396106423 | Cidalia Cota | Massage Therapist | 3507 Pine Ave, Niagara Falls, NY 14301 | 2016-03-17 |
| 1669878203 | Maureen Lester | Dietitian, Registered | 612 -10th Street, Niagara Falls, NY 14301 | 2014-11-10 |
| 1972855997 | Julia A Sturdivant | Registered Nurse | 910 Hyde Park Boulevard, Niagara Falls, NY 14301 | 2012-10-15 |
| 1760762611 | Daniel James Ort | Counselor | 1001 11 St, Northpointe Council Inc., Niagara Falls, NY 14301 | 2011-08-24 |
| 1013246164 | Dawn Cheryl Phillips | Counselor | 1001 11th St., Northpointe Council Inc., Niagara Falls, NY 14301 | 2009-12-21 |
| 1265665954 | Northpointe Council Inc | Clinic/Center | 1001 11th Street, Niagra Falls, NY 14301 | 2009-08-27 |
| 1356505465 | Cassandra Marie Carter | Registered Nurse | 2020 Woodlawn Ave, Niagara Falls, NY 14301 | 2008-07-17 |
| 1013179951 | Ameeta Manhas | Psychiatry & Neurology | 621 Tenth Street., Niagara Falls, NY 14301 | 2008-07-01 |
| Find all providers in zip 14301 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NIAGARA FALLS |
| Zip Code | 14301 |
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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.