ERIN BROGDON (NPI# 1306452321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306452321 |
| Entity Type | Individual |
| Full Name | ERIN BROGDON |
| Credential | RD |
| Practice Address |
316 S Stratford Ave Ste B Santa Maria CA 93454-5908 |
| Mailing Address |
1400 E Church St Medical Staff Office Santa Maria CA 93454 |
| Practice Telephone | 8053328446 |
| Practice Fax Number | 8053328173 |
| Mailing Telephone | 8057393114 |
| Mailing Fax Number | 8057393502 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86115833 | CA | Dietary & Nutritional Service Providers |
| N | 136A00000X | Dietetic Technician, Registered | 86115833 | CA | Dietary & Nutritional Service Providers |
| Street Address |
316 S STRATFORD AVE STE B |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407159429 | Jenny Oleta Andrews | Physician Assistant | 316 S Stratford Ave Ste B, Santa Maria, CA 93454 | 2010-12-14 |
| 1477199131 | Sarah Rose Eichenbaum | 316 S Stratford Ave Ste B, Santa Maria, CA 93454-5908 | 2019-11-18 | |
| 1457919748 | Hayley Edwards | Dietitian, Registered | 316 S Stratford Ave Ste B, Santa Maria, CA 93454-5908 | 2019-05-31 |
| 1518433127 | Richa Tiwari | Physician Assistant | 316 S Stratford Ave Ste B, Santa Maria, CA 93454-5908 | 2018-10-22 |
| 1568767960 | Andrea Pakula | Surgery | 316 S Stratford Ave Ste B, Santa Maria, CA 93454 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| 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 |
|---|---|---|---|---|
| 1295350452 | Colleen Davis Seung | Dietitian, Registered | 2631 Rubel Way, Santa Maria, CA 93455-7457 | 2020-06-13 |
| 1114551991 | Chelsea Eismann Potter | Dietitian, Registered | 110 N Mcclelland St, Santa Maria, CA 93454-4419 | 2020-03-02 |
| 1366981193 | Zero To Hero Nutrition | Dietitian, Registered | 1505 Shepard Dr Ste 204, Santa Maria, CA 93454-7016 | 2017-02-13 |
| 1134671274 | Caitlin Johnson | Dietitian, Registered | 306 Hampton Dr, Santa Maria, CA 93454-3497 | 2016-10-25 |
| 1881993848 | Christen Streeper | Dietitian, Registered | 116 S Palisade Dr Ste 103, Santa Maria, CA 93454-8904 | 2011-03-16 |
| 1700091527 | Andrea Rachelle Hughes | Dietitian, Registered | 2801 Santa Maria Way Ste B, Santa Maria, CA 93455-2118 | 2007-05-14 |
| 1891913463 | Wrenette Hole | Dietitian, Registered | 3058 Patricia Ct, Santa Maria, CA 93455-7125 | 2007-04-20 |
| 1790903367 | Cathleen Holmes | Dietitian, Registered | 400 N Mcclelland St, Santa Maria, CA 93454-4128 | 2007-04-20 |
| 1194943753 | Maria Delfina Arellano | Dietitian, Registered | 2125 Centerpointe Pkwy, Suite 302, Santa Maria, CA 93455-1337 | 2007-04-20 |
| 1174141733 | Nutrition In Action | Dietitian, Registered | 110 N Mcclelland St, Santa Maria, CA 93454-4419 | 2020-07-10 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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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.