KIMBERLY CAMILLE EDWARDS (NPI# 1447691274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447691274 |
| Entity Type | Individual |
| Full Name | KIMBERLY CAMILLE EDWARDS |
| Other Name | KIMBERLY CAMILLE HOUSTON |
| Credential | R.D. |
| Practice Address |
45040 Promise Rd Lake Elsinore CA 92532-1500 |
| Mailing Address |
500 W Graham Ave #858 Lake Elsinore CA 92530-3610 |
| Practice Telephone | 9513304360 |
| Practice Fax Number | 8889784430 |
| Mailing Telephone | 9513304430 |
| Mailing Fax Number | 8889784430 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2015-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 912518 | CA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649892845 | Kimberly Edwards | Registered Nurse | 4334 Greenwood Ln, Grapevine, TX 76051-6718 | 2020-05-11 |
| 1417331232 | Kimberly Edwards | Behavioral Analyst | 8 Edwards Pl, Ewing, NJ 08628-2009 | 2015-07-10 |
| 1689070666 | Kimberly Edwards | Registered Nurse | 43015 Park Creek Dr, Broadlands, VA 20148-4140 | 2014-11-18 |
| 1639444136 | Kimberly Ann Edwards | Physician Assistant | 2730 N Mcmullen Booth Rd Ste 101, Clearwater, FL 33761-3302 | 2012-03-15 |
| 1851623045 | Kimberly Dawn Edwards | Physical Therapy Assistant | 282 Woodberry Rd, Bassett, VA 24055-3722 | 2010-02-12 |
| 1598964983 | Kimberly Funderburk Edwards | Nutritionist | 820 N Thistle Ln, Maitland, FL 32751-3801 | 2007-07-16 |
| 1447333885 | Kimberly A Edwards | Specialist | 1107 Oak St, Milton, WA 98354-9234 | 2006-10-21 |
| 1831140219 | Kimberly A Edwards | Specialist | 2303 N Swan Rd, Tucson, AZ 85712-2716 | 2006-05-12 |
| 1710548268 | Kimberly Jean Edwards | Physical Therapy Assistant | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2019-06-25 |
| 1740764752 | Kimberly Edwards | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2018-09-17 |
| Street Address |
45040 PROMISE RD |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92532-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817842 | The Social Work Action Group | Family Medicine | 28497 California 74 Suite 113, Lake Elsinore, CA 92532 | 2019-12-06 |
| 1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
| 1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
| 1902083595 | Joong Gu Han | Acupuncturist | 53116 Tropical Street, Lake Elsinore, CA 92532 | 2008-01-25 |
| 1063632123 | Taba Apostu & Apostu Professional Dental Corp | Dentist | 361 Railroad Canyon Rd, #a, Lake Elsinore, CA 92532 | 2007-04-30 |
| 1164584793 | Stephen Gerard Schroeder | Optometrist | 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 | 2006-12-13 |
| 1194821041 | Derek B. Hauser | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2006-09-16 |
| 1912017567 | Costco Wholesale Corporation | Pharmacy | 29315 Central Ave, Lake Elsinore, CA 92532 | 2006-08-30 |
| 1952331217 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 29985 Canyon Hills Road, Lake Elsinore, CA 92532 | 2006-07-03 |
| 1467709642 | Matthew Randall Kanter | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2012-08-07 |
| Find all providers in zip 92532 | ||||
| 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 |
|---|---|---|---|---|
| 1336556323 | Michelle Evanthe Pawlak | Dietitian, Registered | 16792 Lash St, Lake Elsinore, CA 92530-6728 | 2014-07-22 |
| 1972780732 | Nancy W Sewell | Dietitian, Registered | 2499 E Lakeshore Dr Ste B, Lake Elsinore, CA 92530-4446 | 2008-01-23 |
| 1124317045 | Meridythe Lauren Schroder | Dietitian, Registered | 600 Central Ave, Suite G, Lake Elsinore, CA 92530-2740 | 2011-03-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92532 |
Please comment or provide details below to improve the information on KIMBERLY CAMILLE EDWARDS.
| 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.