AMANDA BLAKE (NPI# 1225577208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225577208 |
| Entity Type | Individual |
| Full Name | AMANDA BLAKE |
| Credential | MS, RD |
| Practice Address |
2592 Victoria St Simi Valley CA 93065 |
| Mailing Address |
2592 Victoria St Simi Valley CA 93065-3736 |
| Practice Telephone | 8054040155 |
| Mailing Telephone | 8054040155 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | RD86027382 | CA | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4160 Klump Ave, Studio City, CA 916023314 | 3108013418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972944106 | Amanda Blake | Audiologist | 3120s Rainbow Blvd 202, Las Vegas, NV 89146-6235 | 2013-07-16 |
| 1003330366 | Amanda Blake | Behavioral Analyst | 51 Water St, Watertown, MA 02472-4611 | 2017-07-28 |
| 1588827950 | Amanda Blake | Counselor | 1100 K Ave, La Grande, OR 97850-2131 | 2008-07-07 |
| Street Address |
2592 VICTORIA ST |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
| 1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
| 1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
| 1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
| 1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
| 1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
| 1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
| 1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
| 1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
| 1265892350 | Brooks, Tashman, Medical Corporation | Pediatrics | 2950 Sycamore Dr., #200, Simi Valley, CA 93065 | 2016-03-02 |
| Find all providers in zip 93065 | ||||
| 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 |
|---|---|---|---|---|
| 1760020580 | Brenda Marie Goshorn | Dietitian, Registered | 2722 Beth Pl, Simi Valley, CA 93065-1507 | 2019-12-11 |
| 1972000685 | Diem P Nguyen | Dietitian, Registered | 1667 Moonseed Ln, Simi Valley, CA 93065-7421 | 2018-04-09 |
| 1215441332 | Toni Jacalone | Dietitian, Registered | 2355 Madrone St, Simi Valley, CA 93065-2628 | 2017-11-28 |
| 1538596143 | Stephanie Riley Stai | Dietitian, Registered | 685 Sandy Ave, Simi Valley, CA 93065-5140 | 2013-09-27 |
| 1932494580 | Patricia Ann Spencer | Dietitian, Registered | 6027 Mescallero Pl, Simi Valley, CA 93063-5703 | 2011-06-11 |
| 1881831634 | Cynthia Amelia Ray | Dietitian, Registered | 515 Aqueduct Ct., Simi Valley, CA 93065 | 2009-01-15 |
| 1194862441 | Marcia E Sack | Dietitian, Registered | 335 Fresh Meadows Rd, Simi Valley, CA 93065-6818 | 2007-01-30 |
| 1144250614 | Linda Vickers | Dietitian, Registered | 1129 Red Tail Way, Simi Valley, CA 93065-7232 | 2006-07-03 |
| 1619974870 | Judith Larcher Unikel | Dietitian, Registered | 2237 Oak Haven Ave, Simi Valley, CA 93063-5021 | 2005-07-02 |
| 1184173759 | Maren Stein | Dietitian, Registered | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | 2016-09-23 |
| Find all providers in SIMI VALLEY | ||||
| City | SIMI VALLEY |
| Zip Code | 93065 |
Please comment or provide details below to improve the information on AMANDA BLAKE.
| 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.