NOURISHED FOX, LLC (NPI# 1104447515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104447515 |
| Entity Type | Organization |
| Organization Name | NOURISHED FOX, LLC |
| Other Organization Name | NOURISHED FOX, LLC |
| Practice Address |
101 E Coso Ave # 656 Ridgecrest CA 93555-3655 |
| Practice Telephone | 8183910097 |
| Mailing Telephone | 8183910097 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | MISS DORIS A DELGADO (CEO, FOUNDER/RDN) |
| Authorized Official Telephone | 8183910097 |
| Authorized Official Credential | RDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Nourished Fox, LLC | Former Legal Business Name - Organization |
| Street Address |
101 E COSO AVE # 656 |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321776 | Patrick Joseph Mccammon | Case Manager/Care Coordinator | 1400 N Norma, Ste 127, Ridgecrest, CA 93555 | 2019-11-25 |
| 1780170704 | Krista Mae Sanchez Tizon | Behavior Technician | 123 Grande Way, Suite B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1245726348 | Shinta Desentia Fraya | Behavior Technician | 123 Grande Way Ste B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1780114397 | Darci Turner | Occupational Therapy Assistant | 4309 W Weiman, Ridgecrest, CA 93555 | 2017-06-15 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| 1245776236 | Katherine Gerow | Prevention Professional | 1131 Inyokern Rd, Ridgecrest, CA 93555 | 2017-01-13 |
| 1639552151 | Max Scott Higa | Social Worker | 1400 North Norma Street, Suite 133, Ridgecrest, CA 93555 | 2015-07-01 |
| 1184044703 | Ridgecrest Charter School | Speech-Language Pathologist | 325 S. Downs St., Ridgecrest, CA 93555 | 2014-04-22 |
| 1023366838 | Andrew Whalley | Occupational Therapist | 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 | 2012-08-28 |
| 1831453026 | Andrew S Peters | Family Medicine | 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 | 2012-07-02 |
| Find all providers in zip 93555 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279792 | Healthy Mission Dietitian, Inc. | Dietitian, Registered | 225 S Ivy Ave # 266, Monrovia, CA 91016-2835 | 2020-03-05 |
| 1861048456 | Kimberly Reiko Miyamoto | Dietitian, Registered | 24533 Cadiz Dr, Lomita, CA 90717-1156 | 2019-08-10 |
| 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 | RIDGECREST |
| Zip Code | 93555 |
Please comment or provide details below to improve the information on NOURISHED FOX, LLC.
| 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.