MRS. DIANA LEE GLICK (NPI# 1841492113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841492113 |
| Entity Type | Individual |
| Full Name | MRS. DIANA LEE GLICK |
| Credential | RD,LDN |
| Practice Address |
12333 Nw 18th St Suite 3 Pembroke Pines FL 33026-4386 |
| Mailing Address |
611 W 60th St Hialeah FL 33012-6547 |
| Practice Telephone | 9547044534 |
| Mailing Telephone | 3058213813 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND1290 | FL | Dietary & Nutritional Service Providers |
| Street Address |
12333 NW 18TH ST SUITE 3 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-4386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1942666037 | Sandra Colleen Sotnick | Dietitian, Registered | 741 Sw 99th Ter, Pembroke Pines, FL 33025-1009 | 2016-01-06 |
| 1356575765 | Magdaline Frances Segarra | Dietitian, Registered | 19151 Nw 23rd Ct, Pembroke Pines, FL 33029-5336 | 2009-05-13 |
| 1760647093 | Bridgette Bain | Dietitian, Registered | 15612 Nw 14th St, Pembroke Pines, FL 33028-1644 | 2008-07-25 |
| 1861616054 | Melissa Rosetta Somers | Dietitian, Registered | 9680 Pines Blvd, Pembroke Pines, FL 33024-6246 | 2007-04-12 |
| 1245380302 | Dolly Cedeno | Dietitian, Registered | 10021 Pines Blvd Ste 104, Pembroke Pines, FL 33024-6192 | 2007-01-11 |
| 1811965023 | Novel Goergia Allen | Dietitian, Registered | 12379 Pembroke Rd, Pembroke Pines, FL 33025-1723 | 2006-03-14 |
| 1700249315 | Gayl Canfield | Dietitian, Registered | 9050 Pines Blvd, Suite 415, Pembroke Pines, FL 33024-6455 | 2016-03-31 |
| 1932454626 | Mitzy Cruz | Dietitian, Registered | 601 N Flamingo Rd, Suite 105, Pembroke Pines, FL 33028-1015 | 2012-07-18 |
| 1306178611 | Recovering Wellness | Dietitian, Registered | 10021 Pines Blvd Ste 104, Pembroke Pines, FL 33024-6192 | 2010-02-11 |
| 1073743324 | Top Notch Dietitians LLC | Dietitian, Registered | 19151 Nw 23rd Ct, Pembroke Pines, FL 33029-5336 | 2009-07-21 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on MRS. DIANA LEE GLICK.
| 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.