AUSTIN NICHOLUS PEESSET BOU (NPI# 1497394258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497394258 |
| Entity Type | Individual |
| Full Name | AUSTIN NICHOLUS PEESSET BOU |
| Credential | RDN |
| Practice Address |
1716 E 53rd St Long Beach CA 90805-6214 |
| Practice Telephone | 5622768057 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
1716 E 53RD ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| 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 |
|---|---|---|---|---|
| 1568070167 | Erin Fitzpatrick | Dietitian, Registered | 630 Shore Rd Apt 507, Long Beach, NY 11561-4628 | 2020-07-20 |
| 1942827167 | Guy D Denton Jr. | Dietitian, Registered | 1739 N Stanton Pl Apt 7, Long Beach, CA 90804-7917 | 2020-07-03 |
| 1558909291 | Daniel Feldman | Dietitian, Registered | 68 Barnes St, Long Beach, NY 11561-2615 | 2019-12-12 |
| 1396383246 | Lukes Dietitians | Dietitian, Registered | 5030 E 2nd St Ste 200a, Long Beach, CA 90803-5349 | 2019-12-11 |
| 1972029130 | Lilia Bolgov | Dietitian, Registered | 3528 E 2nd St, Apt 1, Long Beach, CA 90803 | 2017-08-19 |
| 1356875900 | Kathleen Gabriel Mccool | Dietitian, Registered | 21 65th Pl, Unit A, Long Beach, CA 90803-5627 | 2017-04-19 |
| 1710426713 | Marie Everett | Dietitian, Registered | 3553 Atlantic Ave # 553, Long Beach, CA 90807-5606 | 2017-02-23 |
| 1295277648 | Shelby Yaceczko | Dietitian, Registered | 350 Wisconsin Ave Apt 1, Long Beach, CA 90814-5699 | 2016-11-15 |
| 1356899371 | Vicky Adeva | Dietitian, Registered | 1043 Elm Ave Ste 401, Long Beach, CA 90813-3296 | 2016-09-19 |
| 1013465483 | Cristina Joros | Dietitian, Registered | 6828 E Driscoll St, Long Beach, CA 90815-4807 | 2016-09-14 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
Please comment or provide details below to improve the information on AUSTIN NICHOLUS PEESSET BOU.
| 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.