TABITHA PRATT (NPI# 1093153884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093153884 |
| Entity Type | Individual |
| Full Name | TABITHA PRATT |
| Other Name | TABITHA JENNINGS |
| Credential | MS, RD |
| Practice Address |
34800 Bob Wilson Dr San Diego CA 92134-1098 |
| Practice Telephone | 6194536857 |
| Mailing Telephone | 6194536857 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1012822 | CA | Dietary & Nutritional Service Providers |
| Street Address |
34800 BOB WILSON DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235134 | Willie S Chao | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2005-06-16 |
| 1023625571 | Samantha Savite | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-29 |
| 1588270326 | Angelina Yvette Harris | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-17 |
| 1275149296 | Alexa Werner | Physical Therapist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-16 |
| 1376157164 | Toure Marlow Hinton | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-31 |
| 1316550106 | John K Housinga | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-31 |
| 1073126249 | Alfredo Carrillo | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-27 |
| 1326651647 | Daniel Adan Denge | Registered Nurse | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-26 |
| 1275146664 | Zachariah Jacob Charles Boydsnee | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-26 |
| 1245843820 | Nikole Lanchares | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
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| 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 |
|---|---|---|---|---|
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1629685987 | Erin Reeves | Dietitian, Registered | 8701 Lake Athabaska Way, San Diego, CA 92119-2825 | 2020-09-29 |
| 1033721907 | Feeding Your Soul Nutrition, LLC | Dietitian, Registered | 10622 Golden Willow Unit 125, San Diego, CA 92130-4930 | 2020-08-20 |
| 1043821333 | Tammy Manse | Dietitian, Registered | 2166 Pine St, San Diego, CA 92103-1523 | 2020-08-11 |
| 1992315691 | Dawn Michelle Rutherford | Dietitian, Registered | 4320 Viewridge Ave, San Diego, CA 92123-1690 | 2020-08-06 |
| 1821606344 | Andrea Michelle Kent | Dietitian, Registered | 5305 Cass St, San Diego, CA 92109-1207 | 2020-07-21 |
| 1841808003 | Sapna Bhalsod | Dietitian, Registered | 4816 W Mountain View Dr Apt 6, San Diego, CA 92116-1758 | 2020-07-14 |
| 1053937557 | Nicole Gomez | Dietitian, Registered | 4965 Corlita Ct, San Diego, CA 92122-3930 | 2020-06-19 |
| 1992320154 | Sarah Jamila Venters | Dietitian, Registered | 10379 Westward Ct, San Diego, CA 92131-6152 | 2020-06-13 |
| 1366066847 | Kathryn Baker Ward | Dietitian, Registered | 4321 Maryland St, San Diego, CA 92103-2333 | 2020-06-01 |
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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.