MRS. AMY L. ELLSWORTH (NPI# 1518233030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518233030 |
| Entity Type | Individual |
| Full Name | MRS. AMY L. ELLSWORTH |
| Credential | RD |
| Practice Address |
524 12th Street Huntington Beach CA 92648-4034 |
| Mailing Address |
Po Box 5281 Huntington Beach CA 92615-5281 |
| Practice Telephone | 7143764542 |
| Mailing Telephone | 7143764542 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1035075 | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487908786 | Amy L Ellsworth | Physician Assistant | 700 Ironwood Avenue, Suite 334, Coeur D'alene, ID 83814 | 2012-11-08 |
| 1629684808 | Amy Lynn Ellsworth | Occupational Therapist | 10 Vo Tech Dr, Oil City, PA 16301-3502 | 2020-09-22 |
| 1922332998 | Amy Ellsworth | Nurse Practitioner | 1751 E Garry Ave, Santa Ana, CA 92705-5814 | 2009-09-24 |
| 1174711436 | Amy Claire Ellsworth | Physician Assistant | 12865 Pointe Del Mar Way, Suite #160, Del Mar, CA 92014-3860 | 2007-10-11 |
| Street Address |
524 12TH STREET |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92648-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009870 | Nutrition By Gwen Consulting | Dietitian, Registered | 11821 Delaware St. Ste. 236, Huntington Beach, CA 92648 | 2020-09-24 |
| 1679131668 | Honey Dixit | Marriage & Family Therapist | 18992 Florida Street, Apt No. G6, Huntington Beach, CA 92648 | 2019-06-04 |
| 1326525361 | Gold Standard Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 | 2018-07-23 |
| 1336690338 | Douglas Chee | Physician Assistant | 1400 Pacific Coast Hwy Apt 201, Huntington Beach, CA 92648 | 2016-10-14 |
| 1801343124 | Serena Trang Ta | Dentist | 18700 Main St Ste 203, Huntington Beach, CA 92648 | 2016-09-02 |
| 1659826485 | Griffo Chiropractic Center Inc | Chiropractor | 18811 Huntington St Ste 100b, Huntington Beach, CA 92648 | 2016-08-22 |
| 1184076143 | Kaely Mcdevitt | Dietitian, Registered | 19400 Beach Blvd Ste 1, Huntington Beach, CA 92648 | 2016-07-01 |
| 1699123885 | Jack Petti | Clinical Medical Laboratory | 226 6th Street, Huntington Beach, CA 92648 | 2016-05-27 |
| 1275980880 | David Whitehouse | Pharmacist | 7989 Aldea Circle, Huntington Beach, CA 92648 | 2016-05-24 |
| 1265886345 | Kimberly Lank | Pediatrics | 19582 Beach Blvd Ste 360, Huntington Beach, CA 92648 | 2016-04-14 |
| Find all providers in zip 92648 | ||||
| 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 |
|---|---|---|---|---|
| 1134726045 | Kristen Nicole Soscia | Dietitian, Registered | 418 13th St Apt B, Huntington Beach, CA 92648-4543 | 2020-10-04 |
| 1861009870 | Nutrition By Gwen Consulting | Dietitian, Registered | 11821 Delaware St. Ste. 236, Huntington Beach, CA 92648 | 2020-09-24 |
| 1730795410 | Tara Moran | Dietitian, Registered | 10171 Maikai Dr, Huntington Beach, CA 92646-2524 | 2020-09-18 |
| 1558972851 | Annalise Christine Rosik | Dietitian, Registered | 7751 Alhambra Dr Apt 102, Huntington Beach, CA 92647-4690 | 2020-08-11 |
| 1699398727 | Amy Crees | Dietitian, Registered | 7411 Edinger Ave Unit 208, Huntington Beach, CA 92647-7835 | 2020-05-23 |
| 1861013351 | Casey Thomas | Dietitian, Registered | 20662 Egret Ln, Huntington Beach, CA 92646-5504 | 2020-05-06 |
| 1871120931 | Kelsey Upton | Dietitian, Registered | 16872 Limelight Cir Unit A, Huntington Beach, CA 92647-5225 | 2020-03-26 |
| 1346896339 | Thao T Phan | Dietitian, Registered | 9692 Delafield Cir, Huntington Beach, CA 92646-3610 | 2019-08-15 |
| 1568020865 | Jasmine Sanscartier | Dietitian, Registered | 427 19th St, Huntington Beach, CA 92648-3811 | 2019-05-31 |
| 1184191793 | Corin Smith | Dietitian, Registered | 16871 Harvest Ln, Huntington Beach, CA 92649-4088 | 2018-11-01 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92648 |
Please comment or provide details below to improve the information on MRS. AMY L. ELLSWORTH.
| 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.