SYDNEY BREE HANSEN (NPI# 1295200061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295200061 |
| Entity Type | Individual |
| Full Name | SYDNEY BREE HANSEN |
| Credential | MS, RD |
| Practice Address |
2151 W Grant Line Rd Tracy CA 95377-7309 |
| Mailing Address |
7210 Murray Drive P.o. Box 779 Stockton CA 95201 |
| Practice Telephone | 2098201500 |
| Mailing Telephone | 2093732800 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86080492 | CA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111314 | Sydney Jean Hansen | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2018-04-12 |
| Street Address |
2151 W GRANT LINE RD |
| City | TRACY |
| State | CA |
| Zip Code | 95377-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932171022 | Andris J Lazdins | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2006-02-03 |
| 1356802482 | Melanie Deschine | Social Worker | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2019-03-29 |
| 1164919049 | Community Medical Centers Inc | Clinic/Center | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2018-04-17 |
| 1326413154 | Sutter Valley Medical Foundation | Internal Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2015-12-04 |
| 1215203906 | Anita Xue | Anesthesiology | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2012-03-27 |
| 1558667915 | Savneet Kaur | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2011-02-02 |
| 1447578331 | Dunni Ayobami Adalumo | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2010-05-17 |
| 1538487129 | Lyudmila Vladimirovna Salomatina | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2010-05-07 |
| 1447588926 | Saira Haroon Khan | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2009-11-22 |
| 1982931598 | Shaheen Jawahar | Internal Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2009-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
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| 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 |
|---|---|---|---|---|
| 1710046966 | Pamela Sue Warmerdam | Dietitian, Registered | 471 W Eaton Ave, Tracy, CA 95376-3420 | 2006-12-06 |
| 1659853778 | Sandra Friedman | Dietitian, Registered | 730 N Central Ave, Tracy, CA 95376-4104 | 2018-09-05 |
| 1942500392 | Nutrition Studio & Diabetes Care Center Inc | Dietitian, Registered | 471 W Eaton Ave, Tracy, CA 95376-3420 | 2010-11-01 |
| 1942362264 | Erlinda S. Camins | Dietitian, Registered | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2006-12-14 |
| 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.