MARYANNA SCHADE MCGERVEY (NPI# 1174759104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174759104 |
| Entity Type | Individual |
| Full Name | MARYANNA SCHADE MCGERVEY |
| Credential | M.P.H., R.D. |
| Practice Address |
24531 Via Tonada Lake Forest CA 92630-2027 |
| Practice Telephone | 9496909132 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 971023 | CA | Dietary & Nutritional Service Providers |
| Street Address |
24531 VIA TONADA |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| 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 |
|---|---|---|---|---|
| 1225653348 | Charlotte Ann Griffith | Dietitian, Registered | 690 Rockefeller Rd, Lake Forest, IL 60045-3147 | 2020-06-15 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1992298426 | Tiffany Gunnemann | Dietitian, Registered | 21342 Hillside Ct, Lake Forest, CA 92630-6598 | 2018-06-09 |
| 1598141368 | Lisa Underwood | Dietitian, Registered | 21311 Balsam Ln, Lake Forest, CA 92630-6418 | 2015-08-04 |
| 1811390529 | Brenda Murray | Dietitian, Registered | 356 Scott St, Lake Forest, IL 60045-1462 | 2014-10-08 |
| 1780087833 | Jin Kuo | Dietitian, Registered | 25885 Trabuco Rd. Apt #120, Lake Forest, CA 92630 | 2014-10-03 |
| 1467866541 | Deborah Ann Belcore | Dietitian, Registered | 147 N. Green Bay Rd, Lake Forest, IL 60045 | 2014-06-17 |
| 1043469794 | Kristine M Schwartz | Dietitian, Registered | 21512 Via Sombreada, Lake Forest, CA 92630-2024 | 2008-09-17 |
| 1285090670 | Michelle Young | Dietitian, Registered | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-01-14 |
| 1275904112 | Colleen Marie Deboer | Dietitian, Registered | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2015-10-19 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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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.