BETTY ANNE BENEDICT (NPI# 1265692727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265692727 |
| Entity Type | Individual |
| Full Name | BETTY ANNE BENEDICT |
| Credential | R.D. |
| Practice Address |
1777 W Yosemite Ave Manteca CA 95337-5130 |
| Practice Telephone | 2098253517 |
| Practice Fax Number | 2098253816 |
| Mailing Telephone | 2098253517 |
| Mailing Fax Number | 2098253816 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
1777 W YOSEMITE AVE |
| City | MANTECA |
| State | CA |
| Zip Code | 95337-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952357741 | Thomas Geraci | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-05-25 |
| 1568075620 | Alicia Avitia | Registered Nurse | 1777 W Yosemite Ave, Manteca, CA 95337-5187 | 2020-08-28 |
| 1720615388 | Jocelyn Laxa | Dietitian, Registered | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2020-03-24 |
| 1134688724 | Lupita Martinez Angeles | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-03-14 |
| 1760949093 | Mona Lisa Fernandez | Respiratory Therapist, Registered | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-02-22 |
| 1124585468 | Amir Hamid | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-02-22 |
| 1568927010 | Lorrie Jean Swortfiguer | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-02-08 |
| 1609330042 | Lisa Pell | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-01-30 |
| 1518421957 | Janice Sue Ross | Respiratory Therapist, Registered | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-01-30 |
| 1427512862 | Sofia Julie Diaz-caporgno | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640485 | Shanitta D Hines | Counselor | Victor Community Support Services, 302 Cherry Lane, CA 95337 | 2020-08-19 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1225430655 | Elizabeth Julia Ann Tyner | Hearing Instrument Specialist | 1079 Eucalyptus, Suite B, Manteca, CA 95337 | 2014-09-17 |
| 1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
| 1053668947 | Roger Cabo Inciong | Physical Therapist | 3652 Rapallo Way, Manteca, CA 95337 | 2012-08-09 |
| 1295997757 | Costco Wholesale Corporation | Pharmacy | 2440 Daniels St, Manteca, CA 95337 | 2008-06-26 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1467528265 | Annie Mathew | Pharmacist | 1777 West Yosemite Ave, Manteca, CA 95337 | 2006-11-27 |
| Find all providers in zip 95337 | ||||
| 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 |
|---|---|---|---|---|
| 1649891755 | Athena Bechere | Dietitian, Registered | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2020-04-29 |
| 1720615388 | Jocelyn Laxa | Dietitian, Registered | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2020-03-24 |
| 1336297555 | Aimee Soung | Dietitian, Registered | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2007-01-05 |
| 1093872699 | Jacob Chermak | Dietitian, Registered | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2007-01-02 |
| 1134284045 | Tracy Bento | Dietitian, Registered | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083448 | Fuad Al Qudsi | Dietitian, Registered | 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 | 2020-11-08 |
| 1700487535 | Katherine Zanville | Dietitian, Registered | 4928 Bellaire Ave, Valley Village, CA 91607-3419 | 2020-11-06 |
| 1760083711 | Gabriela E Zeagler | Dietitian, Registered | 1522 Halifax Way, El Dorado Hills, CA 95762-5841 | 2020-11-05 |
| 1427659796 | Yun Chieh Huang | Dietitian, Registered | 733 W Naomi Ave, Arcadia, CA 91007-7561 | 2020-11-03 |
| 1497356794 | Jelena Etemovic | Dietitian, Registered | 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 | 2020-11-03 |
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1912507708 | Eileen Hsiung | Dietitian, Registered | 830 Polaris Dr, Tustin, CA 92782-1720 | 2020-10-29 |
| 1912507831 | Aneeta Maria Vedula | Dietitian, Registered | 4371 Lombard Ave, Fremont, CA 94536-4929 | 2020-10-29 |
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1952901373 | Rubit Quintero-cobian | Dietitian, Registered | 3557 Willis Dr, Napa, CA 94558-2452 | 2020-10-26 |
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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.