NICOLE CRUZ (NPI# 1013189323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013189323 |
| Entity Type | Individual |
| Full Name | NICOLE CRUZ |
| Credential | R.D. |
| Practice Address |
28230 Agoura Rd Suite 150 Agoura Hills CA 91301-2407 |
| Mailing Address |
292 Galway Ln Simi Valley CA 93065-6294 |
| Practice Telephone | 8053419044 |
| Mailing Telephone | 8053419044 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2012-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 949628 | CA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730535832 | Nicole Cruz | Social Worker | 1210 Serissa Ct, Orlando, FL 32818-5750 | 2016-05-06 |
| 1770905499 | Nicole Cruz | Behavioral Analyst | 3244 Prospect Park Dr, Rancho Cordova, CA 95670-6244 | 2014-01-15 |
| 1255643110 | Nicole N Cruz | Pediatrics | 2637 Sunset Maple Dr, Tipp City, OH 45371-8157 | 2010-07-08 |
| 1568940328 | Nicole Cruz | Nurse Practitioner | 807 N Cage Blvd, Pharr, TX 78577-3117 | 2018-08-03 |
| 1427535962 | Nicole Cruz | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-27 |
| 1598266132 | Nicole Marie Cruz | Physical Therapy Assistant | 2125 S 61st St, Temple, TX 76504-6823 | 2018-02-27 |
| 1013335439 | Nicole Cruz | Internal Medicine | 505 East 70th Street, Weill Cornell Internal Medicine Associates, New York, NY 10021 | 2014-04-02 |
| 1003154873 | Nicole Cruz | Counselor | 19 E Ormond Ave, Cherry Hill, NJ 08034-2053 | 2013-01-29 |
| 1255650107 | Nicole Elizabeth Cruz | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2010-05-18 |
| 1295069177 | Nicole C. Cruz | Clinical Neuropsychologist | 1 Childrens Pl, Suite 3n14, Saint Louis, MO 63110-1002 | 2009-09-25 |
| Street Address |
28230 AGOURA RD SUITE 150 |
| City | AGOURA HILLS |
| State | CA |
| Zip Code | 91301-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558494260 | Amanda Marcelle Coover | Marriage & Family Therapist | 28230 Agoura Rd, Suite 150, Agoura Hills, CA 91301-2407 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
| 1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
| 1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
| 1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| 1902152507 | Bethany Vaudrey | Psychologist | 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 | 2012-08-01 |
| 1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
| Find all providers in zip 91301 | ||||
| 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 |
|---|---|---|---|---|
| 1467856500 | Tracy Still Jimenez | Dietitian, Registered | 28938 Hollowbrook Ave, Agoura Hills, CA 91301-2123 | 2014-10-17 |
| 1083971402 | Lari Bright | Dietitian, Registered | 28737 Conejo View Dr, Agoura Hills, CA 91301-3376 | 2012-04-23 |
| 1073797254 | Diane Woods | Dietitian, Registered | 28720 Canwood Street, Suite 204, Agoura Hills, CA 91301 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083448 | Fuad Al Qudsi | Dietitian, Registered | 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 | 2020-11-08 |
| 1700487535 | Katherine Zanville | Dietitian, Registered | 4928 Bellaire Ave, Valley Village, CA 91607-3419 | 2020-11-06 |
| 1760083711 | Gabriela E Zeagler | Dietitian, Registered | 1522 Halifax Way, El Dorado Hills, CA 95762-5841 | 2020-11-05 |
| 1427659796 | Yun Chieh Huang | Dietitian, Registered | 733 W Naomi Ave, Arcadia, CA 91007-7561 | 2020-11-03 |
| 1497356794 | Jelena Etemovic | Dietitian, Registered | 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 | 2020-11-03 |
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1912507708 | Eileen Hsiung | Dietitian, Registered | 830 Polaris Dr, Tustin, CA 92782-1720 | 2020-10-29 |
| 1912507831 | Aneeta Maria Vedula | Dietitian, Registered | 4371 Lombard Ave, Fremont, CA 94536-4929 | 2020-10-29 |
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1952901373 | Rubit Quintero-cobian | Dietitian, Registered | 3557 Willis Dr, Napa, CA 94558-2452 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | AGOURA HILLS |
| Zip Code | 91301 |
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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.