KIMBERLY MCDONOUGH (NPI# 1366853434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1054529 | IL | Dietary & Nutritional Service Providers |
| 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 |
| Street Address |
17505 N 79TH AVE SUITE 407 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8725 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 85308 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in GLENDALE | ||||
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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.