KIMBERLY NISHIYAMA


Address: 20325 N 51st Ave, Glendale, AZ 85308-5674
Phone: 6023415248

KIMBERLY NISHIYAMA (NPI# 1003308487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 136A00000X Dietetic Technician, Registered 86092429 AZ Dietary & Nutritional Service Providers

Office Location

Street Address 20325 N 51ST AVE
City GLENDALE
State AZ
Zip Code 85308-5674

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 136A00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietetic Technician, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538778923 Cynthia Sanchez Dietetic Technician, Registered 4925 W Sandra Ter, Glendale, AZ 85306-2035 2020-07-30

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City GLENDALE
Zip Code 85308

Improve Information

Please comment or provide details below to improve the information on KIMBERLY NISHIYAMA.

Dataset Information

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.

Trending Searches