KIMBERLY NISHIYAMA (NPI# 1003308487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003308487 |
Entity Type | Individual |
Full Name | KIMBERLY NISHIYAMA |
Credential | DTR |
Practice Address |
20325 N 51st Ave Glendale AZ 85308-5674 |
Mailing Address |
20325 N 51st Ave Ste 166 Glendale AZ 85308-4624 |
Practice Telephone | 6023415248 |
Enumeration Date | 2018-06-01 |
Last Update Date | 2018-06-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 136A00000X | Dietetic Technician, Registered | 86092429 | AZ | Dietary & Nutritional Service Providers |
Street Address |
20325 N 51ST AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85308-5674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386643641 | Joseph Frank Raynak | Family Medicine | 20325 N 51st Ave, Suite 170, Glendale, AZ 85308-5674 | 2005-07-19 |
1801494208 | Tara Nicole Kirkpatrick | Dietitian, Registered | 20325 N 51st Ave, Bldg 9, Suite 166, Glendale, AZ 85308 | 2020-10-16 |
1407318298 | Az Surgery Center, LLC | Surgery | 20325 N 51st Ave, Bldg 7, Ste 156, Glendale, AZ 85308 | 2019-04-02 |
1467914259 | Adobe Ent & Allergy, LLC | Otolaryngology | 20325 N 51st Ave, Bldg 7, Ste 154, Glendale, AZ 85308 | 2019-04-02 |
1700323524 | Karla Guadalupe Cabrera | Nurse Practitioner | 20325 N 51st Ave, Bldg 8 Ste 160, Glendale, AZ 85308-5674 | 2017-01-31 |
1881045375 | Tristine Bogle | Dietitian, Registered | 20325 N 51st Ave, Ste 166, Glendale, AZ 85308-4624 | 2016-06-26 |
1487019246 | Desert Dreams Anesthesia, Pllc | Anesthesiology | 20325 N 51st Ave, Suite 160, Glendale, AZ 85308-5674 | 2015-12-22 |
1548647936 | Yvonne Mclemore | Nurse Practitioner | 20325 N 51st Ave, Suite 160, Glendale, AZ 85308-5674 | 2015-05-05 |
1003225608 | Martha Reed | Homeopath | 20325 N 51st Ave, Suite 112, Glendale, AZ 85308-5674 | 2014-08-07 |
1821407545 | Insights for Life LLC | Clinic/Center | 20325 N 51st Ave, 112, Glendale, AZ 85308-5674 | 2014-08-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
Find all providers in zip 85308 |
Taxonomy Code | 136A00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietetic Technician, Registered |
A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538778923 | Cynthia Sanchez | Dietetic Technician, Registered | 4925 W Sandra Ter, Glendale, AZ 85306-2035 | 2020-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386251916 | Haley Rae Harris | Dietetic Technician, Registered | 2201 E Melrose St, Gilbert, AZ 85297-1135 | 2020-09-28 |
1790301588 | Anne Grimm | Dietetic Technician, Registered | 4313 E Torrey Pines Ln, Chandler, AZ 85249-7157 | 2020-06-17 |
1063045441 | Marisa Martineau Stephens | Dietetic Technician, Registered | 21168 E Via Del Oro, Queen Creek, AZ 85142-6966 | 2020-02-13 |
1255982062 | Danielle Haworth | Dietetic Technician, Registered | 1450 E Bell Rd Apt 1008, Phoenix, AZ 85022-2751 | 2019-09-23 |
1952959108 | Tamara J Damon | Dietetic Technician, Registered | 1152 W Horseshoe Ave, Gilbert, AZ 85233-5266 | 2019-08-30 |
1689047540 | Monica Zion | Dietetic Technician, Registered | 304 W Jersey Way, San Tan Valley, AZ 85143-4873 | 2015-11-01 |
1780067702 | Mary Elliot | Dietetic Technician, Registered | 7424 E Virginia Ave, Scottsdale, AZ 85257-1521 | 2015-07-08 |
1629684105 | Erika Seekatz | Dietetic Technician, Registered | 3950 S Country Club Rd, Tucson, AZ 85714-2099 | 2020-09-19 |
1811500952 | Hannah Williamson | Dietetic Technician, Registered | 2650 N Wyatt Dr, Tucson, AZ 85712-6106 | 2020-08-28 |
1730719972 | Sarah Pluto | Dietetic Technician, Registered | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-01-15 |
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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.