LEAH M TANNER (NPI# 1104121680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104121680 |
Entity Type | Individual |
Full Name | LEAH M TANNER |
Credential | RD |
Practice Address |
84 Santa Rosa St Suite A San Luis Obispo CA 93405-1812 |
Practice Telephone | 8055488585 |
Practice Fax Number | 8055488589 |
Mailing Telephone | 8055488585 |
Mailing Fax Number | 8055488589 |
Enumeration Date | 2011-01-14 |
Last Update Date | 2014-11-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
919327 | CA | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | AMERICAN DIETETIC ASSOCIATION MEMBERSHIP | 919327 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366839144 | Leah Tanner | Social Worker | 3826 Commanche Ave., Las Vegas, NV 89121 | 2015-04-20 |
Street Address |
84 SANTA ROSA ST SUITE A |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93405-1812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477637783 | Anthony Michael Wolfe | Internal Medicine | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-1812 | 2006-10-24 |
1215442991 | Soquel Schafer | Family Medicine | 84 Santa Rosa St, San Luis Obispo, CA 93405-1812 | 2017-12-04 |
1831631001 | Primary Care Partners - Slo, P.C. | Clinic/Center | 84 Santa Rosa St, A, San Luis Obispo, CA 93405-1812 | 2016-11-04 |
1215284096 | Heather Marie Willis | Physician Assistant | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 | 2012-08-10 |
1962706994 | Mandy R.c. Gailey | Dietitian, Registered | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-1812 | 2011-01-05 |
1851616106 | Andrea Angelucci | Family Medicine | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 | 2010-03-30 |
1861676553 | Suzanne Elizabeth Bakke | Physician Assistant | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 | 2007-12-18 |
1437361771 | Paul Stephen Collins | Dermatology | 84 Santa Rosa St, San Luis Obispo, CA 93405-1812 | 2007-05-07 |
1215150040 | Barbara Lisa Defirmian | Family Medicine | 84 Santa Rosa St, Ste A, San Luis Obispo, CA 93405-1812 | 2007-04-10 |
1306960240 | Dermatologic Plastic Surgery Clinics of Ca | Specialist | 84 Santa Rosa St, San Luis Obispo, CA 93405-1812 | 2007-03-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
Find all providers in zip 93405 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
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1114490497 | Maria Tointon | Dietitian, Registered | 236 6th Ave # A, Santa Cruz, CA 95062-4604 | 2019-01-09 |
1194260695 | Rory Pace | Dietitian, Registered | 300 Santana Row, Suite 300, San Jose, CA 95128-2423 | 2016-12-20 |
1689122533 | Shirlee Rosen | Dietitian, Registered | 4521 Sherman Oaks Ave Ste 201, Sherman Oaks, CA 91403-3807 | 2016-09-20 |
1336599836 | Shu-hui Dai | Dietitian, Registered | 20718 Golden Rain Rd, Riverside, CA 92508-3161 | 2016-06-15 |
1679922561 | Monica Wong | Dietitian, Registered | 2201 Junipero Serra Blvd, Daly City, CA 94014-1908 | 2016-06-10 |
1275982837 | Alice Thipphavong | Dietitian, Registered | 1290 Tully Rd Ste 60, San Jose, CA 95122-3069 | 2016-06-05 |
1417328121 | Vanessa Joana Rojas-bautista | Dietitian, Registered | 101 City Drive, Bldg. 51, Orange, CA 92868-3217 | 2015-10-08 |
1396131009 | Susan Lynn Mills | Dietitian, Registered | 5718 Ravenspur Dr Unit 106, Rancho Palos Verdes, CA 90275-3536 | 2015-04-09 |
Find all providers with the same taxonomy |
City | SAN LUIS OBISPO |
Zip Code | 93405 |
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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.