Chithkala Ravishankar, MS RD CDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

004375 Issued in NY

Practice address

997 Glen Cove Ave
Glen Head, NY 11545-1593

Phone

(516) 674-9144

Fax

(516) 674-4024

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Kala Ravishankar Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432425600000",
    "number": "1144315870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GREEN DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763208",
            "telephone_number": "516-674-9144",
            "fax_number": "516-674-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 GLEN COVE AVE",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451593",
            "telephone_number": "516-674-9144",
            "fax_number": "516-674-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVISHANKAR",
        "first_name": "CHITHKALA",
        "name_prefix": "Mrs.",
        "credential": "MS RD CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "004375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "03P92EY561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALA",
            "last_name": "RAVISHANKAR",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marisa Valarie Pollock, MA., CCC-SLP, TSSLD
• Sandra Portela
• Alicia Tamara Portuondo-Smith, NURSE PRACTITIONER
• Purple Table S.L.P., PLLC
• Pamela N Rademacher, LCSW
• Shreyas T Ravishankar, MD
• Tharakaram Ravishankar, MD FACE
• Reduce Home Falls Inc
• Leslie Reduto, LCSW, CASAC
• Andrea Rettig, MS OTRL

• Metabolic Nutrition Registered Dietitian in Glen Head, NY
• Providers in Glen Head, NY by specialty
• Metabolic Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.