Colleen Malena Petitto, RD, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN 001238 Issued in PA

Practice address

17 Arentzen Blvd
Vista One Professional Center Suite 105
Charleroi, PA 15022-1085

Phone

(724) 489-0850

NPI assigned

Sep 5, 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 names 1

• Miss Colleen Michele Malena Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1164524575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ARENTZEN BLVD",
            "address_2": "VISTA ONE PROFESSIONAL CENTER SUITE 105",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221085",
            "telephone_number": "724-489-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ARENTZEN BLVD",
            "address_2": "VISTA ONE PROFESSIONAL CENTER SUITE 105",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221085",
            "telephone_number": "724-489-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITTO",
        "first_name": "COLLEEN",
        "middle_name": "MALENA",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN 001238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "MALENA",
            "middle_name": "MICHELE",
            "prefix": "MISS",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaunaq Parikh, DO
• Melissa Ann Pasquinelli, PT
• Mohammad F Pathan, MD
• Brent Michael Pelzer, OCCUPATIONAL THERAPY
• Michael James Perozzi, DPM
• Pieri, Inc.
• Pinnacle Treatment Centers PA-VIII, LLC
• Preferred Primary Care Physicians, Inc.
• Primary Care Group 12, Inc.,
• Perveen Ab Punjani, MD

• Registered Dietitian in Charleroi, PA
• Providers in Charleroi, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.