STACY RENEE DEQUINA (NPI# 1174821425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174821425 |
| Entity Type | Individual |
| Full Name | STACY RENEE DEQUINA |
| Credential | R.D., C.D.E. |
| Practice Address |
20361 Clark St Woodland Hills CA 91367-5508 |
| Practice Telephone | 8186421494 |
| Mailing Telephone | 8186421494 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 859099 | CA | Dietary & Nutritional Service Providers |
| Street Address |
20361 CLARK ST |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| 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 |
|---|---|---|---|---|
| 1497366280 | Sara Montazeripour | Dietitian, Registered | 22100 Burbank Blvd Unit 259g, Woodland Hills, CA 91367-6251 | 2020-08-13 |
| 1447896295 | Sarah Gordon | Dietitian, Registered | 6243 Fallbrook Ave, Woodland Hills, CA 91367-1602 | 2019-11-26 |
| 1871159814 | Deborah Forman | Dietitian, Registered | 23133 Ventura Blvd Ste 103, Woodland Hills, CA 91364-1184 | 2019-05-15 |
| 1336604446 | Noor-hoda Hakimjavadi | Dietitian, Registered | 22717 Leonora Dr, Woodland Hills, CA 91367-6117 | 2019-02-02 |
| 1417344094 | Mor Levy | Dietitian, Registered | 22527 Uhea Rd, Woodland Hills, CA 91364-4041 | 2015-04-21 |
| 1083898688 | Christianne Hamilton Salem | Dietitian, Registered | 23371 Mulholland Dr # 216, Woodland Hills, CA 91364-2734 | 2007-12-19 |
| 1225562267 | Simona Hradil | Dietitian, Registered | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2017-04-17 |
| 1750759049 | Rachel Agaronov | Dietitian, Registered | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2015-09-03 |
| 1659772838 | Karen David | Dietitian, Registered | 22466 Ventura Blvd, Woodland Hills, CA 91364-1523 | 2014-09-08 |
| 1306128129 | Laura Szpila | Dietitian, Registered | 5601 De Soto Ave, Woodland Hills, CA 91367 | 2011-09-19 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
Please comment or provide details below to improve the information on STACY RENEE DEQUINA.
| 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.