KATHY DEMAGGIO (NPI# 1518027309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518027309 |
| Entity Type | Individual |
| Full Name | KATHY DEMAGGIO |
| Credential | RD |
| Practice Address |
2101 Courage Dr Nutrition, Ms 10-100 Fairfield CA 94533-6717 |
| Mailing Address |
3415 Ellen Way Napa CA 94558-4251 |
| Practice Telephone | 7077842216 |
| Mailing Telephone | 7072241925 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 541159 | CA | Dietary & Nutritional Service Providers |
| Street Address |
2101 COURAGE DR NUTRITION, MS 10-100 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-6717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736732 | Sarah Jane Bolger | Nurse Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2005-11-03 |
| 1235754706 | Armina Roseanna Delacruz | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-06-10 |
| 1043834955 | Rodney Ralls | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-06-05 |
| 1740800531 | Cleveland Anthony Thibodeaux IIi | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-04-21 |
| 1477173672 | Lauren Elayna Lopez | Case Manager/Care Coordinator | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-04-17 |
| 1497388763 | Edward Lusung Mendoza | Licensed Vocational Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-02-14 |
| 1598397655 | Pamela Monterrosa | Student in an Organized Health Care Education/Training Program | 2101 Courage Dr, Fairfield, CA 94533 | 2020-02-06 |
| 1205476801 | Lemuel Francis Constantino | Registered Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-01-10 |
| 1285273490 | Simone Lenore Adkins | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-01-06 |
| 1376182857 | Sean Michael Maher | Registered Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2019-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| 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 |
|---|---|---|---|---|
| 1174151443 | Victoria Dibiasi | Dietitian, Registered | 79 Renchy St, Fairfield, CT 06824-4129 | 2020-03-31 |
| 1649710898 | Mary (trudi) Gertrude Stringer | Dietitian, Registered | 3193 Cherry Valley Cir, Fairfield, CA 94534-7511 | 2017-03-06 |
| 1649647447 | Lucie Ashton | Dietitian, Registered | 5431 Dellbrook Dr, Fairfield, OH 45014-3322 | 2015-08-27 |
| 1386033363 | Aikaterina Galeos | Dietitian, Registered | 16 Long Acres Rd, Fairfield, NJ 07004-1217 | 2015-01-14 |
| 1578870804 | Sherri Frey Ludwig | Dietitian, Registered | 710 Adagio Dr, Fairfield, CA 94534-4112 | 2010-09-08 |
| 1952531964 | Antoinette F Aniton | Dietitian, Registered | 580 Villa Ave, #110, Fairfield, CT 06825-1973 | 2009-07-24 |
| 1306055710 | Sue Ann Carnahan | Dietitian, Registered | 410 Nw 10th St, Fairfield, IL 62837-1242 | 2007-05-22 |
| 1427110618 | Cynthia J Symons | Dietitian, Registered | 601 Taylor St, Fairfield, CA 94533-6115 | 2006-12-14 |
| 1487722427 | Elaine Kuznar | Dietitian, Registered | Mercy Hospital, 3000 Mack Road--diabetes Education, Fairfield, OH 45014 | 2006-11-30 |
| 1205875762 | Nancy A Murphy | Dietitian, Registered | 34 Smith St, Fairfield, CT 06824-6637 | 2006-06-06 |
| Find all providers in FAIRFIELD | ||||
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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.