MS. SALLY ANNE ZUMWALT (NPI# 1124182605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124182605 |
| Entity Type | Individual |
| Full Name | MS. SALLY ANNE ZUMWALT |
| Credential | RD |
| Practice Address |
10080 N Wolfe Rd Suite Sw3-160 Cupertino CA 95014-2515 |
| Mailing Address |
1576 Mizzen Ln Half Moon Bay CA 94019-1536 |
| Practice Telephone | 4083426699 |
| Mailing Telephone | 6507266738 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 654928 | IL | Dietary & Nutritional Service Providers |
| Street Address |
10080 N WOLFE RD SUITE SW3-160 |
| City | CUPERTINO |
| State | CA |
| Zip Code | 95014-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982678447 | Edward H Park | Physical Therapist | 10080 N Wolfe Rd, Sw3-100, Cupertino, CA 95014-2515 | 2006-02-13 |
| 1265603997 | Melissa Blancett | Speech-Language Pathologist | 10080 N Wolfe Rd, Suite #100, Cupertino, CA 95014-2515 | 2008-03-20 |
| 1982748935 | Irene C Lee | Specialist | 10080 N Wolfe Rd, Suite 3-100, Cupertino, CA 95014-2515 | 2007-02-16 |
| 1891848685 | Merodie Erin Mullis | Physical Therapist | 10080 N Wolfe Rd, Sw3-100, Cupertino, CA 95014-2515 | 2007-01-18 |
| 1346392461 | Katherine Tea | Social Worker | 10080 N Wolfe Rd, Sw3-100, Cupertino, CA 95014-2515 | 2007-01-17 |
| 1154472587 | Douglas Franklin Sales | Physical Therapist | 10080 N Wolfe Rd, Sw3-100, Cupertino, CA 95014-2515 | 2007-01-14 |
| 1235289463 | Tamara Eichelberger | Physical Therapist | 10080 N Wolfe Rd, Cupertino, CA 95014-2515 | 2007-01-11 |
| 1891842142 | Janis Ann Thomas | Physical Therapist | 10080 N Wolfe Rd, Sw3-100, Cupertino, CA 95014-2515 | 2007-01-05 |
| 1184771867 | Rhonda Conner | Physical Therapist | 10080 N Wolfe Rd, Cupertino, CA 95014-2515 | 2007-01-04 |
| 1366509036 | Jean Louise Gemmill | Dietitian, Registered | 10080 N Wolfe Rd, Suite Sw3-160, Cupertino, CA 95014-2515 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343500 | Voong Chuang LLC | Podiatrist | 1030 Pennington Ln, Cupertino, CA 95014 | 2018-07-23 |
| 1083114748 | Michelle T Vo | Social Worker | 19000 Homestead Rd Fl 2, Cupertino, CA 95014 | 2018-02-19 |
| 1437686797 | Yi Shou Chang | Acupuncturist | 20600 Mariani Ave Ste D, Cupertino, CA 95014 | 2017-05-17 |
| 1023553732 | Crossover Health Medical Group | Specialist | 19500 E. Homestead Rd., Cupertino, CA 95014 | 2017-01-04 |
| 1831649359 | Victoria Cheong | Occupational Therapist | 10050 N. Wolfe Road, Sw1-190, Cupertino, CA 95014 | 2016-10-07 |
| 1437532678 | Venus Tsai | Optometrist | 10123 North Wolfe Road, Cupertino, CA 95014 | 2015-07-07 |
| 1356731608 | Man-pik Lo, D.d.s., Inc. | Dentist | 20395 Pacifica Drive, Ste. 110, Cupertino, CA 95014 | 2015-01-26 |
| 1760826101 | Seiyu Kageyama | Acupuncturist | 10835 N. Wolfe Road., Cupertino, CA 95014 | 2013-04-27 |
| 1699043802 | Lisa Marie-mone Fourkas | Physical Therapist | 1601 South Deanza Blvd, Suite 111, Cupertino, CA 95014 | 2011-12-02 |
| 1508141193 | Kuo-jui Huang | Acupuncturist | 10325 S. Tantau Ave., Cupertino, CA 95014 | 2011-10-15 |
| Find all providers in zip 95014 | ||||
| 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 |
|---|---|---|---|---|
| 1376140301 | Ellen Tang | Dietitian, Registered | 10027 Scenic Blvd, Cupertino, CA 95014-2724 | 2020-10-02 |
| 1750731675 | Kirti Raol | Dietitian, Registered | 10139 S Blaney Ave, Apt C, Cupertino, CA 95014-3155 | 2016-06-22 |
| 1972625911 | Meiling Ouyang | Dietitian, Registered | 7775 Huntridge Ln, Cupertino, CA 95014-4262 | 2007-04-03 |
| 1659873701 | Hemlata Kiran Kundargi | Dietitian, Registered | 20555 Prospect Rd, Cupertino, CA 95014-5212 | 2018-03-05 |
| 1083074140 | Mihee Redman | Dietitian, Registered | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2016-03-02 |
| 1851651418 | Leah Frankel | Dietitian, Registered | 19000 Homestead Rd, Bldg. 1, 2nd Fl., Cupertino, CA 95014-0712 | 2012-05-16 |
| 1346484508 | Patricia F Chung | Dietitian, Registered | 19000 Homestead Rd, Bldg. 1, 2nd Fl., Cupertino, CA 95014-0712 | 2009-04-30 |
| 1366509036 | Jean Louise Gemmill | Dietitian, Registered | 10080 N Wolfe Rd, Suite Sw3-160, Cupertino, CA 95014-2515 | 2007-01-02 |
| 1881750842 | Elaine C Lee | Dietitian, Registered | 19000 Homestead Rd, Bldg 1, 2nd Floor, Cupertino, CA 95014-0712 | 2006-12-27 |
| 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 |
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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.