KIMBERLY MCDONOUGH


Address: 17505 N 79th Ave, Suite 407, Glendale, AZ 85308-8725
Phone: 6233996825

KIMBERLY MCDONOUGH (NPI# 1366853434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366853434
Entity Type Individual
Full Name KIMBERLY MCDONOUGH
Credential RD
Practice Address 17505 N 79th Ave
Suite 407
Glendale
AZ 85308-8725
Mailing Address 17505 N 79th Ave
Suite 210
Glendale
AZ 85308-8725
Practice Telephone 6233996825
Practice Fax Number 6235053474
Mailing Telephone 6233996825
Mailing Fax Number 6235053474
Enumeration Date 2014-05-12
Last Update Date 2014-05-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1054529 IL Dietary & Nutritional Service Providers

Other Providers KIMBERLY MCDONOUGH

NPI Name Taxonomy Address Enumeration
1871192153 Kimberly Boren Mcdonough Pharmacist 4300 West 7th Street, St 119/lr, Little Rock, AR 72205 2020-10-19
1164861175 Kimberly Ann Mcdonough Nurse Practitioner 455 Toll Gate Rd, Warwick, RI 02886-2759 2013-06-24
1568635829 Kimberly Ann Mcdonough Contractor 1081 Eagle Lake Road, Mount Desert, ME 04660-0060 2008-04-08

Office Location

Street Address 17505 N 79TH AVE
SUITE 407
City GLENDALE
State AZ
Zip Code 85308-8725

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740248376 Shelley S Kaufman Psychologist 17505 N 79th Ave, Suite 315, Glendale, AZ 85308-8725 2006-05-03
1417430778 Daniela Rothenberg Counselor 17505 N 79th Ave, Glendale, AZ 85308-8725 2018-09-12
1548768914 Elizabeth Williams Counselor 17505 N 79th Ave, 311-g, Glendale, AZ 85308-8725 2018-01-31
1700384070 Michele Wiest Social Worker 17505 N 79th Ave, Glendale, AZ 85308-8725 2018-01-31
1518493303 Deborah E Beebe Dietitian, Registered 17505 N 79th Ave, Suite 407, Glendale, AZ 85308 2017-05-11
1972044436 Integrative Healing Counseling Service, Pllc Social Worker 17505 N 79th Ave, Suite 311f, Glendale, AZ 85308-8725 2017-03-17
1609317791 Az Balanced Living Solutions, LLC Counselor 17505 N 79th Ave, Suite 305-c, Glendale, AZ 85308-8725 2017-03-09
1841730041 Wendy Ann Whitsett Counselor 17505 N 79th Ave, Suite 305-c, Glendale, AZ 85308-8725 2017-03-07
1073055414 Amanda Anderson, Mms, Pa-c, Pllc Psychiatry & Neurology 17505 N 79th Ave, Suite 206, Glendale, AZ 85308-8725 2016-11-16
1164973285 Sherri Mankofsky Dietitian, Registered 17505 N 79th Ave, Suite 407, Glendale, AZ 85308-8725 2016-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972102572 Inspire Wellness and Pelvic Health Clinic/Center 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 2020-10-23
1669081709 Michelle Yoakim Student in an Organized Health Care Education/Training Program 19555 N 59th Avenuue, Glendale, AZ 85308 2020-07-24
1033742291 Kaitlyn Marie Shannon Dietitian, Registered 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 2020-02-17
1295377687 Serenity Preserved Counseling Pllc Counselor 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 2019-10-17
1013567023 Caitlyn Heredia Student in an Organized Health Care Education/Training Program 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 2019-09-12
1770141061 Sydney Dangelo Student in an Organized Health Care Education/Training Program 7454 W Denaro Dr, Glendale, AZ 85308 2019-05-31
1023585742 Center for Couples Therapy, Pllc Counselor 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 2018-10-31
1831678341 Ayat Mahdi Obeidi Dentist 19420 N 59th Ave Ste D400, Glendale, AZ 85308 2018-08-07
1720580038 Lifeline Professional Counseling Services, Inc Clinic/Center 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 2018-03-02
1003318585 Danna Mavis Constance Moisii Physician Assistant 18301 N. 79th Ave #g190, Glendale, AZ 85308 2018-03-01
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518576339 Jenna Moore Dietitian, Registered 5414 W Hartford Ave, Glendale, AZ 85308-5321 2020-07-28
1861017303 Scm Nutrition Diet Inc Dietitian, Registered 2437 Bywood Drive, Glendale, CA 91206 2020-06-10
1174142939 Donna Marie Mercatante Dietitian, Registered 7816 76th St, Glendale, NY 11385-7443 2020-04-13
1952937815 Ani Aratounians Dietitian, Registered 222 Monterey Rd Unit 201, Glendale, CA 91206-2001 2020-03-22
1033742291 Kaitlyn Marie Shannon Dietitian, Registered 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 2020-02-17
1679032999 Nadine Bradley Dietitian, Registered 435 W Los Feliz Rd Unit 507, Glendale, CA 91204-3570 2019-03-16
1689130791 Vanessa R Infante Dietitian, Registered 570 S Dahlia Cir Apt H-105, Glendale, CO 80246-1373 2019-02-13
1013400035 Naira Gavurmadzhyan Dietitian, Registered 1316 Truitt St, Glendale, CA 91201-2341 2018-06-13
1356851075 Devon Elizabeth Cole Dietitian, Registered 100 N Brand Blvd Ste 213, Glendale, CA 91203-2641 2017-10-08
1780102053 Nicole Desiree Al-shafie Dietitian, Registered 620 N Brand Blvd Ste 401, Glendale, CA 91203-1210 2017-09-06
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Competitor

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City GLENDALE
Zip Code 85308

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Dataset Information

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.

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