BROOKE ELIZABETH WICKMAN (NPI# 1538638945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538638945 |
| Entity Type | Individual |
| Full Name | BROOKE ELIZABETH WICKMAN |
| Credential | MS, RD |
| Practice Address |
611 W 8th St Davis CA 95616-1833 |
| Practice Telephone | 7159273424 |
| Mailing Telephone | 7159273424 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
611 W 8TH ST |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| 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 |
|---|---|---|---|---|
| 1275130296 | Lisa Nicole Luevano | Dietitian, Registered | 510 Lake Blvd Apt 165, Davis, CA 95616-2814 | 2020-10-02 |
| 1598370447 | Xuerong Jin | Dietitian, Registered | 2033 F St Apt 207, Davis, CA 95616-0737 | 2020-09-08 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1740644624 | Debra Yerike | Dietitian, Registered | 213 F St, #73, Davis, CA 95616-4514 | 2016-04-07 |
| 1821326042 | Michelle Shinstock | Dietitian, Registered | 1442 Pastal Way, Davis, CA 95618-6715 | 2009-11-29 |
| 1700092798 | Karen Louise Farley | Dietitian, Registered | 1517 Pacific Dr, Davis, CA 95616-1330 | 2007-05-15 |
| 1053328419 | Debra Geary Hook | Dietitian, Registered | 2400 Pole Line Rd Apt 73, Davis, CA 95618-0518 | 2006-08-01 |
| 1891782884 | Janet Meinders Charalampous | Dietitian, Registered | Hc 67 Box 1, Davis, OK 73030-9501 | 2005-10-04 |
| 1811548779 | Sarah Schmitt | Dietitian, Registered | 1 Shields Ave, Davis, CA 95616-5270 | 2019-09-23 |
| 1548514706 | Andrea Ransdell | Dietitian, Registered | 2051 John Jones Rd, Davis, CA 95616-9701 | 2012-11-08 |
| Find all providers in DAVIS | ||||
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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.