BONNIE JEAN BROEK (NPI# 1376019943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376019943 |
| Entity Type | Individual |
| Full Name | BONNIE JEAN BROEK |
| Credential | RDN |
| Practice Address |
701 E Santa Clara St Ste 46 Ventura CA 93001-5972 |
| Practice Telephone | 8054048082 |
| Mailing Telephone | 8054048082 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
701 E SANTA CLARA ST STE 46 |
| City | VENTURA |
| State | CA |
| Zip Code | 93001-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501968 | Coastal Cities Nutrition Group | Nutritionist | 701 E Santa Clara St Ste 46, Ventura, CA 93001-5972 | 2019-04-30 |
| 1376015016 | Coastal Cities Nutrition Group | Nutritionist | 701 E Santa Clara St Ste 46, Ventura, CA 93001-5972 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929739 | Christine Yana Barna | Counselor | 641 E Thompson Blvd, Ventura, CA 93001 | 2020-07-08 |
| 1477024222 | 4 Kids 2 Kids | Psychiatric Residential Treatment Facility | 9223 Nye Road, Ventura, CA 93001 | 2018-12-05 |
| 1578046884 | Michelle Aquino | Counselor | 2222 Channel Dr, Ventura, CA 93001 | 2018-09-12 |
| 1700379096 | Terrence Swanson | Counselor | 125 W Harrison Ave Apt A, Ventura, CA 93001 | 2018-06-11 |
| 1376055012 | Bridge & Temple Inc | Optometrist | 828 E Main Street, Ventura, CA 93001 | 2017-11-03 |
| 1578073763 | Karin Huang | Counselor | 2001, 28th St, Bakerfield, CA 93001 | 2017-10-03 |
| 1487170346 | Stephanie Martello | Counselor | 864 East Santa Clara Street, Ventura, CA 93001 | 2017-08-22 |
| 1477080885 | Isabel Ojeda-cobaruvias | Specialist/Technologist | 1234 E. Main Street, Ventura, CA 93001 | 2017-05-16 |
| 1902219413 | Julio Perez | Specialist/Technologist | 1234 Main St., Ventura, CA 93001 | 2014-06-03 |
| 1417380478 | Lacey Piper | Dietitian, Registered | 2841 Harbor Blvd., Ventura, CA 93001 | 2013-08-14 |
| Find all providers in zip 93001 | ||||
| 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 |
|---|---|---|---|---|
| 1154930154 | Genevieve Aline Laturner | Dietitian, Registered | 1215 Anchors Way Dr Spc 212, Ventura, CA 93001-6255 | 2020-07-26 |
| 1417585118 | Natalie Kay Granucci | Dietitian, Registered | 30 Livermore Ave, Ventura, CA 93004-3802 | 2020-03-29 |
| 1154963940 | Heidi Mcmahan | Dietitian, Registered | 132 Gay Dr, Ventura, CA 93003-5311 | 2019-10-13 |
| 1699284596 | Sara Zolfaghari | Dietitian, Registered | 4840 Ellington St, Ventura, CA 93003 | 2017-09-22 |
| 1417380478 | Lacey Piper | Dietitian, Registered | 2841 Harbor Blvd., Ventura, CA 93001 | 2013-08-14 |
| 1104115799 | Aimee L Hammond | Dietitian, Registered | 8752 Denver St, Ventura, CA 93004-2535 | 2011-04-04 |
| 1760025696 | Amy Jones | Dietitian, Registered | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2019-10-23 |
| 1740778604 | Jessica Ann Meramble | Dietitian, Registered | 147 N Brent St, Ventura, CA 93003-2809 | 2018-04-26 |
| 1114300886 | Rickie Hauer-beaghler | Dietitian, Registered | 3291 Loma Vista Rd, Bldg. 340, Suite 302, Ventura, CA 93003-3099 | 2015-06-30 |
| 1871988162 | Elizabeth Saltzberg | Dietitian, Registered | 2772 Johnson Dr, 200, Ventura, CA 93003-8582 | 2015-04-02 |
| Find all providers in VENTURA | ||||
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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.