SANDRA LIDDICOAT


Address: 1868 Clayton Rd, Suite 123, Concord, CA 94520-2547
Phone: 9255863224

SANDRA LIDDICOAT (NPI# 1053527713) 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) 1053527713
Entity Type Individual
Full Name SANDRA LIDDICOAT
Other Name SANDI LIDDICOAT
Credential R.D.
Practice Address 1868 Clayton Rd
Suite 123
Concord
CA 94520-2547
Mailing Address 118 Mills Rd
Vacaville
CA 95687-4633
Practice Telephone 9255863224
Mailing Telephone 9255863224
Enumeration Date 2007-05-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 888381 CA Dietary & Nutritional Service Providers

Office Location

Street Address 1868 CLAYTON RD
SUITE 123
City CONCORD
State CA
Zip Code 94520-2547

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023086212 Hector Rivera-lopez Psychologist 1868 Clayton Rd, Suite 220, Concord, CA 94520-2547 2006-03-14
1043607450 Psychological Services Group Marriage & Family Therapist 1868 Clayton Rd, Suite 126, Concord, CA 94520-2547 2015-04-23
1881081321 Elizabeth Dansie Marriage & Family Therapist 1868 Clayton Rd, Suite 126, Concord, CA 94520-2547 2015-04-22
1598156796 Casa Serena Eating Disorders Program San Francisco Marriage & Family Therapist 1868 Clayton Rd, Sutie 123, Concord, CA 94520-2547 2015-02-10
1013308253 Elisa Elizabeth Hughes Marriage & Family Therapist 1868 Clayton Rd, Suite 126, Concord, CA 94520-2547 2015-02-10
1629468905 Casa Serena Eating Disorders Program Marriage & Family Therapist 1868 Clayton Rd, Suite 123, Concord, CA 94520-2547 2015-01-26
1023341724 Isela Michelle Garcia Social Worker 1868 Clayton Rd, Suite 220, Concord, CA 94520-2547 2009-09-12
1033318423 Minou Djavaherian Marriage & Family Therapist 1868 Clayton Rd, Concord, CA 94520-2547 2007-07-16
1134243066 Mary K. Stoker Marriage & Family Therapist 1868 Clayton Rd, Suite 221, Concord, CA 94520-2547 2007-03-17
1457487571 Jacquelyn Lee Holmes Marriage & Family Therapist 1868 Clayton Rd, Suite 230, Concord, CA 94520-2547 2007-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275130163 Jessica E. Hiers Audiologist 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 2020-10-05
1538712690 Melody Louise Todd Student in an Organized Health Care Education/Training Program 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 2019-07-18
1497319446 Nately Rose Social Worker Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 2019-04-25
1609331412 Darien Mccollins Jr. Case Manager/Care Coordinator 2380 Salvio Street Stu 200, Concord, CA 94520 2019-02-06
1972072122 Rocio Flores Neale Physician Assistant 2415 High School Avenue, Suite 800, Concord, CA 94520 2018-11-16
1386129138 Vanessa Segovia Registered Nurse 2500 Bates Ave., Suite B, Concord, CA 94520 2018-09-27
1417442278 Raquel Jihan Chiasson Social Worker 2900 Avon Avenue, Concord, CA 94520 2018-06-25
1184118143 Angela Navarro Behavioral Analyst 1844 Overhill Rd, Concord, CA 94520 2018-06-21
1811498678 Sherry Currie-proctor Case Manager/Care Coordinator 2380 Salvio Street, Concord, CA 94520 2018-02-26
1770082547 Donna Christianson Marriage & Family Therapist 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 2018-02-07
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447879234 Corry Akbarian Dietitian, Registered 1313 Glenwood Dr, Concord, CA 94518-1513 2020-04-11
1619531167 Nutrition Works Nh LLC Dietitian, Registered 18 N Main St Ste 304, Concord, NH 03301-4926 2019-04-30
1891252110 Chiara Maria Estes Dietitian, Registered 40 E Sugar Ball Rd, Concord, NH 03301-5803 2019-02-22
1083182810 Natalie Hilts Dietitian, Registered 11 Robin Rd, Concord, NH 03301-7894 2018-11-09
1144798125 Janet Greer-carney Dietitian, Registered 76 Centre St, Concord, NH 03301-4141 2018-11-07
1871010876 Day2day Nutrition, LLC Dietitian, Registered 102 Pleasant St Ste 2, Concord, NH 03301-3863 2017-08-29
1225570203 Tszwing Ho Dietitian, Registered 1706 Gyger Ct, Concord, CA 94521-2249 2016-11-08
1851749915 Christine Munoz Dietitian, Registered 10981 Aspen Ridge Ln Nw, Concord, NC 28027-2962 2016-05-31
1023415460 Camp Thoreau Inc Dietitian, Registered 275 Forest Ridge Rd, Concord, MA 01742-3830 2014-12-01
1841692142 Halley Rust Dietitian, Registered 18 Foundry St Ste 101, Concord, NH 03301-5421 2014-09-18
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Competitor

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City CONCORD
Zip Code 94520

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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.

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