AMANDA LEAL DIAZ (NPI# 1548820020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548820020 |
| Entity Type | Individual |
| Full Name | AMANDA LEAL DIAZ |
| Credential | MS, RD, LD |
| Practice Address |
101 Bodin Cir Travis Afb CA 94535-1809 |
| Practice Telephone | 7074232387 |
| Mailing Telephone | 7074232387 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT85615 | TX | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947149 | Amanda Diaz | Behavior Technician | 6812 N Thatcher Ave, Tampa, FL 33614-3821 | 2020-09-16 |
| 1265683510 | Amanda J Diaz | Massage Therapist | 403 Lafayette St, Port Orange, FL 32127-4437 | 2008-10-06 |
| 1285273474 | Amanda Nichole Diaz | Behavior Technician | 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 | 2020-01-06 |
| 1053965939 | Amanda Diaz | Behavior Technician | 10689 N Kendall Dr Ste 309, Miami, FL 33176-1525 | 2019-07-29 |
| 1285010447 | Amanda L Diaz | Anesthesiologist Assistant | 300 Pinellas St, Clearwater, FL 33756-3804 | 2015-08-10 |
| 1134536998 | Amanda Cassaro Diaz | Speech-Language Pathologist | 1266 Furnace Brook Pkwy Ste 100b, Quincy, MA 02169-4789 | 2014-07-14 |
| 1548525025 | Amanda A Diaz | Counselor | 5305 Mcnutt Rd, Santa Teresa, NM 88008-9685 | 2012-07-10 |
| 1144536939 | Amanda J Diaz | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2010-08-31 |
| 1467787838 | Amanda Julie Diaz | Social Worker | 8111 Lawn St, Houston, TX 77088-6323 | 2009-10-02 |
| Street Address |
101 BODIN CIR |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893276 | Charles A Tujo | Radiology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-06-30 |
| 1538769351 | Chelsey Violet Pelkey | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-30 |
| 1538768114 | Jordan Rose | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-23 |
| 1821606591 | Madelyn Hale | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-20 |
| 1932727856 | Julie Thein | Audiologist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-07 |
| 1063039501 | Shae Daniel Bryant | Dentist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-01 |
| 1598381089 | Aaron J Surbaugh | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-06-19 |
| 1194348466 | Amanda Vance | Registered Nurse | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-05-21 |
| 1427681196 | Bradley Burkey | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-20 |
| 1821629288 | Gloria Calvillo | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| 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 |
|---|---|---|---|---|
| 1861747586 | Sarah Celeste Fitch | Dietitian, Registered | 101 Bodin Circle 60 Mdg, Travis Afb, CA 94535-1800 | 2012-07-18 |
| 1720154701 | Heidi Lynn Clark | Dietitian, Registered | 60 Mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535-1809 | 2006-11-28 |
| 1356370068 | Linda Louise Cowling | Dietitian, Registered | 60 Mdts/sgqd, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2006-07-03 |
| 1093765257 | Lisa M Kovalek | Dietitian, Registered | 105 Bodin Cir, Travis Afb, CA 94535-1801 | 2006-05-10 |
| 1881683043 | Jennifer Bradley Harward | Dietitian, Registered | 60 Mdg/sgqd, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2005-10-19 |
| 1497253793 | Christi Triche | Dietitian, Registered | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2018-02-01 |
| 1669829370 | Mckinzie Alston | Dietitian, Registered | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2016-05-23 |
| 1356741755 | Linderpal Kaur Dhillon | Dietitian, Registered | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2014-09-04 |
| 1477730240 | Sara Elizabeth Koepke | Dietitian, Registered | 101 Bodin Circle, Travis Afb, CA 94535 | 2008-01-23 |
| 1265628390 | Craig Saewong | Dietitian, Registered | 60 Mdg/sgqd, 101 Bodin Cir, Travis Afb, CA 94535-1800 | 2007-09-21 |
| Find all providers in TRAVIS AFB | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
Please comment or provide details below to improve the information on AMANDA LEAL DIAZ.
| 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.