BROOKE KATHLEEN BOSKOVICH (NPI# 1477095370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477095370 |
| Entity Type | Individual |
| Full Name | BROOKE KATHLEEN BOSKOVICH |
| Other Name | BROOKE KATHLEEN GRAY |
| Credential | RD |
| Practice Address |
1750 Ne Neff Rd Guest House Bend OR 97701-6111 |
| Mailing Address |
Po Box 8815 Bend OR 97708-8815 |
| Practice Telephone | 5419807659 |
| Mailing Telephone | 5419807659 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-D-10177805 | OR | Dietary & Nutritional Service Providers |
| Street Address |
1750 NE NEFF RD GUEST HOUSE |
| City | BEND |
| State | OR |
| Zip Code | 97701-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| 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 |
|---|---|---|---|---|
| 1447763479 | Makena Whitaker | Dietitian, Registered | 1253 Nw Hartford Ave Unit 2, Bend, OR 97703-2488 | 2017-11-13 |
| 1396286704 | Laura Boehm | Dietitian, Registered | 19950 Pinewood Rd, Bend, OR 97702-2020 | 2017-03-17 |
| 1801333935 | Kristina Coughlin | Dietitian, Registered | 20748 Boulderfield Ave, Bend, OR 97701-7327 | 2017-01-26 |
| 1922364348 | Kristal L. Bryant | Dietitian, Registered | 725 Ne Ross Rd, Spc 45, Bend, OR 97701-7389 | 2012-04-10 |
| 1164748000 | Lynae Adrien Smith | Dietitian, Registered | 339 Sw Century Dr Ste 201, Bend, OR 97702-1338 | 2010-04-16 |
| 1801066139 | Andrea Sue Baumann | Dietitian, Registered | 384 Sw Upper Terrace Dr Ste 213, Bend, OR 97702-3514 | 2008-03-03 |
| 1356959720 | Solera Consulting LLC | Dietitian, Registered | 235 Se Davis Ave, Bend, OR 97702-1333 | 2020-07-21 |
| 1225539174 | Lindsey Rhodes Kelly | Dietitian, Registered | 361 Ne Franklin Ave Bldg C, Bend, OR 97701-4917 | 2018-02-26 |
| 1295182079 | Kelly Harrington | Dietitian, Registered | 516 Sw 13th St, Suite 101, Bend, OR 97702-3206 | 2016-05-20 |
| 1609232552 | Abigail Marie Douglas | Dietitian, Registered | 244 Ne Franklin Ave, Suite 3, Bend, OR 97701-4959 | 2016-01-07 |
| Find all providers in BEND | ||||
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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.