MRS. KATRINA LYNNE OTTEN


Address: 52 N Tu Su Ln, Bishop, CA 93514-8058
Phone: 7608738851

MRS. KATRINA LYNNE OTTEN (NPI# 1497907299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497907299
Entity Type Individual
Full Name MRS. KATRINA LYNNE OTTEN
Credential RD
Practice Address 52 N Tu Su Ln
Bishop
CA 93514-8058
Mailing Address 395 Sierra St Apt S
Bishop
CA 93514-2308
Practice Telephone 7608738851
Practice Fax Number 7608736362
Mailing Telephone 7608738851
Mailing Fax Number 7608736362
Enumeration Date 2008-10-13
Last Update Date 2008-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 916884 CA Dietary & Nutritional Service Providers

Office Location

Street Address 52 N TU SU LN
City BISHOP
State CA
Zip Code 93514-8058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770523052 Henry Humbert Duke Jr. Family Medicine 52 N Tu Su Ln, Bishop, CA 93514-8058 2006-06-07
1740559301 Marjoree Neer Nurse Practitioner 52 N Tu Su Ln, Bishop, CA 93514-8058 2011-12-27
1962703736 Irene Mason Dietitian, Registered 52 N Tu Su Ln, Bishop, CA 93514-8058 2010-11-10
1760711568 Natalie Rose Vega Marriage & Family Therapist 52 N Tu Su Ln, Bishop, CA 93514-8058 2009-12-08
1316126790 Lori A. Simpson Counselor 52 N Tu Su Ln, Bishop, CA 93514-8058 2007-11-01
1598953382 Parisa Payman Dentist 52 N Tu Su Ln, Bishop, CA 93514-8058 2007-10-05
1497965479 Donelle H Messih Dietitian, Registered 52 N Tu Su Ln, Bishop, CA 93514-8058 2007-05-22
1093936247 Joshua Andre Vendig Nurse Practitioner 52 N Tu Su Ln, Bishop, CA 93514-8058 2007-05-02
1689728032 John Clark Registered Nurse 52 N Tu Su Ln, Bishop, CA 93514-8058 2007-01-23
1760536478 Richard Earl Nicholson Family Medicine 52 N Tu Su Ln, Bishop, CA 93514-8058 2007-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790385466 Tamia Shoshone Specialist/Technologist 2823 Diaz Lane, Bishop, CA 93514 2020-10-30
1982242590 Amy Tran Pharmacist 1190 N Bishop St, Bishop, CA 93514 2019-12-13
1083266654 Teresa Michelle Poirier Psychologist 512 W. Line Street, Suite 101, Bishop, CA 93514 2019-07-12
1477021756 Linda M Christensen Social Worker 686 W. Line St., Bishop, CA 93514 2018-11-05
1013491497 Kathleen Lynn Chandler Massage Therapist 214 W Line Street, Suite J, Bishop, CA 93514 2018-09-20
1477055390 Alex Ds Ellis Marriage & Family Therapist 129 East Line St, Bishop, CA 93514 2018-03-07
1205366184 Carla Orieta Social Worker 162 J-grove St., Bishop, CA 93514 2017-06-14
1871905778 Bahman Payman Obstetrics & Gynecology 1500 Bear Creek Dr., Bishop, CA 93514 2014-05-27
1093972697 Emery Joseph Duncan Dds Apc Dentist 325 Grove St, Bishop, CA 93514 2008-05-21
1407034622 Steven Neal White Acupuncturist 162 E Line St Ste A, Bishop, CA 93514 2008-02-11
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477710432 Devorah Plewinski Dietitian, Registered 192 Edwards St, Bishop, CA 93514-3304 2008-05-19
1902393218 Amber Collette Morin Dietitian, Registered 150 Pioneer Ln, Bishop, CA 93514-2556 2018-04-23
1790111656 Shannon J Beasley Dietitian, Registered 250 N See Vee Ln, Bishop, CA 93514-8130 2013-09-23
1962703736 Irene Mason Dietitian, Registered 52 N Tu Su Ln, Bishop, CA 93514-8058 2010-11-10

Providers in the same taxonomy and state

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
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Competitor

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City BISHOP
Zip Code 93514

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Dataset Information

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.

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