PRUDENCE TICKNOR (NPI# 1174920821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174920821 |
Entity Type | Individual |
Full Name | PRUDENCE TICKNOR |
Credential | RD |
Practice Address |
1552 Coffee Rd Suite 200 Modesto CA 95355-3122 |
Practice Telephone | 2092487168 |
Mailing Telephone | 2092487168 |
Enumeration Date | 2014-11-24 |
Last Update Date | 2017-03-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 819773 | NC | Dietary & Nutritional Service Providers |
Street Address |
1552 COFFEE RD SUITE 200 |
City | MODESTO |
State | CA |
Zip Code | 95355-3122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427008028 | Esther June Tow-der | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-05-12 |
1528414133 | Nicholas Holt Hopkins | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2016-05-12 |
1235576638 | Matthew Laurence Tilstra | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2013-05-28 |
1619310737 | Rocio Acera Pozzi | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2013-04-08 |
1093900961 | Stephen K Liu Md Professional Corporation | Radiology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2007-09-13 |
1073735163 | Pam Sue Grassmidt | Nurse Practitioner | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2007-05-02 |
1124141163 | Central California Bariatric Surgery A Medical Corporation | Surgery | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 | 2007-04-06 |
1992710768 | Hera Obgyn Medical Group, Inc. | Obstetrics & Gynecology | 1552 Coffee Rd, 1st Floor, Modesto, CA 95355-3107 | 2006-07-30 |
1306889860 | Stephen Kao Liu | Radiology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-06-13 |
1619929429 | James Yuen Kuen Yip | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
Find all providers in zip 95355 |
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 |
---|---|---|---|---|
1780297523 | Claire Ruth Coffrin-st. Julien | Dietitian, Registered | 1400 Florida Ave Ste 111, Modesto, CA 95350-4444 | 2020-08-30 |
1023669553 | Jessica Yang | Dietitian, Registered | 3707 Hammett Rd, Modesto, CA 95358-9721 | 2019-09-25 |
1841618261 | Bonnie Beardsley | Dietitian, Registered | 1616 Albany Ave, Modesto, CA 95350-4012 | 2014-04-02 |
1659435402 | Bryn Elizabeth Miller | Dietitian, Registered | 3800 Dale Road, Health Education, Modesto, CA 95356 | 2006-12-19 |
1477616464 | Sally Marie Gerling | Dietitian, Registered | 1122 Stoddard Ave, Modesto, CA 95350 | 2006-12-19 |
1497385793 | Gerling Consulting, Inc | Dietitian, Registered | 1122 Stoddard Ave, Modesto, CA 95350-5818 | 2020-01-25 |
1467095729 | Katie Ann Ott | Dietitian, Registered | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2019-10-18 |
1982129201 | Arun Chowdhary | Dietitian, Registered | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2017-08-08 |
1255799136 | Laura Denise Johnson | Dietitian, Registered | 1700 Mchenry Village Way, Modesto, CA 95350-4308 | 2016-02-05 |
1518343649 | Karenjit Johal | Dietitian, Registered | 730 17th St, Modesto, CA 95354-1209 | 2015-07-30 |
Find all providers in MODESTO |
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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.