KATIE ANN OTT (NPI# 1467095729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467095729 |
| Entity Type | Individual |
| Full Name | KATIE ANN OTT |
| Credential | RD |
| Practice Address |
1552 Coffee Rd Ste 200 Modesto CA 95355-3122 |
| Practice Telephone | 2092487168 |
| Practice Fax Number | 2098469641 |
| Mailing Telephone | 2092487168 |
| Mailing Fax Number | 2098469641 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86062158 | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 644 E Harding Way Ste B, Stockton, CA 952046103 | 2092449191 | 2092449190 |
| Street Address |
1552 COFFEE RD STE 200 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063479301 | Patrick James Coates | Surgery | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2006-04-28 |
| 1487289625 | Ashley Shiyuan Chang | Physician Assistant | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2020-03-09 |
| 1922642784 | Mary Angelle-cargill | Nurse Practitioner | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2019-11-04 |
| 1447743943 | Tyler James Soga | Nurse Practitioner | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2018-06-08 |
| 1326547266 | Felicia M Agibi | Psychologist | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2018-02-06 |
| 1447779889 | Bernarde Mangebi Udo | Nurse Practitioner | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2017-09-18 |
| 1639690845 | Lorena Behrmann | Nurse Practitioner | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2017-06-28 |
| 1982050100 | Lynda Sosa-lowry | Psychologist | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2016-05-06 |
| 1497147409 | Davis Moindi Openda | Nurse Practitioner | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2015-02-27 |
| 1407297252 | Tinu Xavier | Nurse Practitioner | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2013-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| 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 |
|---|---|---|---|---|
| 1780297523 | Claire Ruth Coffrin-st. Julien | Dietitian, Registered | 1400 Florida Ave Ste 111, Modesto, CA 95350-4444 | 2020-08-30 |
| 1023669553 | Jessica Yang | Dietitian, Registered | 3707 Hammett Rd, Modesto, CA 95358-9721 | 2019-09-25 |
| 1841618261 | Bonnie Beardsley | Dietitian, Registered | 1616 Albany Ave, Modesto, CA 95350-4012 | 2014-04-02 |
| 1659435402 | Bryn Elizabeth Miller | Dietitian, Registered | 3800 Dale Road, Health Education, Modesto, CA 95356 | 2006-12-19 |
| 1477616464 | Sally Marie Gerling | Dietitian, Registered | 1122 Stoddard Ave, Modesto, CA 95350 | 2006-12-19 |
| 1497385793 | Gerling Consulting, Inc | Dietitian, Registered | 1122 Stoddard Ave, Modesto, CA 95350-5818 | 2020-01-25 |
| 1982129201 | Arun Chowdhary | Dietitian, Registered | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2017-08-08 |
| 1255799136 | Laura Denise Johnson | Dietitian, Registered | 1700 Mchenry Village Way, Modesto, CA 95350-4308 | 2016-02-05 |
| 1518343649 | Karenjit Johal | Dietitian, Registered | 730 17th St, Modesto, CA 95354-1209 | 2015-07-30 |
| 1629459235 | Ruth Blair | Dietitian, Registered | 4601 Dale Rd, Modesto, CA 95356-9718 | 2015-06-10 |
| Find all providers in MODESTO | ||||
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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.