MRS. ANTONIA GENNOCK (NPI# 1255857678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255857678 |
| Entity Type | Individual |
| Full Name | MRS. ANTONIA GENNOCK |
| Credential | MS, RD |
| Practice Address |
2811 W California Ave Fresno CA 93706-2306 |
| Mailing Address |
880 E Salem Ave Fresno CA 93720-2128 |
| Practice Telephone | 5594934544 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1091076 | CA | Dietary & Nutritional Service Providers |
| Street Address |
2811 W CALIFORNIA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457786170 | Tikesha Leslie-jones | Psychologist | 2811 W California Ave, Fresno, CA 93706-2307 | 2013-09-12 |
| 1275059578 | Christine Nduku Mativo | Dietitian, Registered | 2811 W California Ave, Fresno, CA 93706-2306 | 2017-08-17 |
| 1659728319 | Rhonda Gostanian | Dietitian, Registered | 2811 W California Ave, Fresno, CA 93706-2306 | 2016-05-23 |
| 1457708463 | Ashley Larsen | Dietitian, Registered | 2811 W California Ave, Fresno, CA 93706-2306 | 2016-05-19 |
| 1689030769 | Cell Staff | Clinic/Center | 2811 W California Ave, Fresno, CA 93706-2306 | 2016-01-05 |
| 1609231828 | Virginia Cuevas | Registered Nurse | 2811 W California Ave, Fresno, CA 93706-2306 | 2015-12-15 |
| 1225410103 | Rebecca Domrese | Dietitian, Registered | 2811 W California Ave, Fresno, CA 93706-2306 | 2015-06-26 |
| 1770903775 | Department of Veterans Affairs of The State of California | Assisted Living Facility | 2811 W California Ave, Fresno, CA 93706-2307 | 2014-04-17 |
| 1225469307 | California Department of Veterans Affairs - Fresno Home | Assisted Living Facility | 2811 W California Ave, Fresno, CA 93706-2307 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| 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 |
|---|---|---|---|---|
| 1891393062 | Melanie Thomas | Dietitian, Registered | 4722 Pickridge Ct, Fresno, TX 77545-7529 | 2020-10-11 |
| 1093345423 | Mary Clare Ovalle | Dietitian, Registered | 10290 N Dearing Ave, Fresno, CA 93730-4772 | 2020-01-24 |
| 1669939385 | Lisa Herzig | Dietitian, Registered | 9898 N Millbrook Ave, Fresno, CA 93720-1313 | 2019-02-28 |
| 1063927655 | Teryn Cook Buchanan | Dietitian, Registered | 5305 N Fresno St Ste 103, Fresno, CA 93710-6845 | 2017-12-05 |
| 1801329214 | Leonila Campos | Dietitian, Registered | 4115 W Fremont Ave, Fresno, CA 93722-9001 | 2017-04-04 |
| 1770027583 | Lisa Naomi Martinez | Dietitian, Registered | 1816 W Cornell Ave, Fresno, CA 93705-3710 | 2016-12-13 |
| 1932641743 | Jana Mowrer | Dietitian, Registered | 6840 N Maple Ave Apt 258, Fresno, CA 93710-4587 | 2016-11-09 |
| 1245782515 | Danielle Lee | Dietitian, Registered | 842 E Fir Ave, Fresno, CA 93720-3232 | 2016-11-02 |
| 1942754932 | Emily Valdez | Dietitian, Registered | 2610 E Nees Ave Apt 272, Fresno, CA 93720-6023 | 2016-08-08 |
| 1780051417 | Alice Voluntad | Dietitian, Registered | 5522 N Ellendale Ave, Fresno, CA 93722-2507 | 2015-08-28 |
| Find all providers in FRESNO | ||||
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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.