AMY WARREN (NPI# 1598238123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598238123 |
| Entity Type | Individual |
| Full Name | AMY WARREN |
| Credential | MS,RDN |
| Practice Address |
99 Montecillo Rd San Rafael CA 94903-3308 |
| Mailing Address |
100 Belvedere Dr Apt 3 Mill Valley CA 94941-2456 |
| Practice Telephone | 4154442000 |
| Mailing Telephone | 4157206140 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 00899624 | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Belvedere Dr Apt 3, Mill Valley, CA 949412456 | 4157206140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528323664 | Amy Jo Warren | Dental Hygienist | 2519 Krueger Ln, Tampa, FL 33618-3201 | 2012-07-04 |
| 1013163591 | Amy R Warren | Psychologist | 7833 Glastenbury Ct, White Plains, MD 20695-4412 | 2008-08-15 |
| 1770604985 | Amy Janet Warren | Counselor | 1266 1st St, Suite 2, Sarasota, FL 34236-5519 | 2007-04-03 |
| 1992272272 | Amy Warren | Social Worker | 1 Mustard St, Rochester, NY 14609-6980 | 2018-10-25 |
| 1851823694 | Amy Warren | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2017-03-31 |
| 1750630604 | Amy Warren | Psychologist | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2012-09-06 |
| 1922357383 | Amy Elizabeth Warren | Pharmacist | 512 S Kings Hwy, Myrtle Beach, SC 29577-4409 | 2012-08-31 |
| 1194980425 | Amy Howes Warren | Physical Therapist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2008-07-25 |
| 1386845964 | Amy Denise White Warren | Physician Assistant | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 | 2007-05-30 |
| 1972653533 | Amy N. Warren | Occupational Therapist | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-01-12 |
| Street Address |
99 MONTECILLO RD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528889 | Jeffry D Cardneau | Surgery | 99 Montecillo Rd, Mob 1, 2nd Floor, Department of Surgery, San Rafael, CA 94903-3308 | 2005-06-17 |
| 1225645468 | Lauren Freudman | Occupational Therapist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2020-09-30 |
| 1285254037 | Omar Ahmed | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2020-04-22 |
| 1447887229 | Meka Angela Parks | Registered Nurse | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2020-03-24 |
| 1710519202 | Mahsa Khorramdin | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2020-02-12 |
| 1568001071 | Jessica Tan | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-12-31 |
| 1720626211 | Ava May Mahan | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-12-15 |
| 1437797271 | Alicia Pontecorvo | Dietitian, Registered | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-12-11 |
| 1437795499 | Shirley Liu | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-11-25 |
| 1831740422 | Natalie Marie Vano | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| 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 |
|---|---|---|---|---|
| 1366088403 | Sobeyda M Monterroso Ramirez | Dietitian, Registered | 1829 2nd St Apt 5, San Rafael, CA 94901-2656 | 2019-11-25 |
| 1760932677 | Marcia Cote | Dietitian, Registered | 349 G St, San Rafael, CA 94901-1705 | 2016-10-04 |
| 1336527647 | Ana A Farrer | Dietitian, Registered | 1712 5th Ave, Apt 3, San Rafael, CA 94901-1841 | 2015-05-07 |
| 1801164884 | Ashlie Aileen Lewis | Dietitian, Registered | 280 Merrydale Rd Apt 6, Apt #6, San Rafael, CA 94903-3945 | 2011-12-06 |
| 1235385550 | Brittany Leeann Szarek | Dietitian, Registered | 33 San Pablo Ave, #319, San Rafael, CA 94903-4199 | 2008-08-18 |
| 1376682591 | Mary B Quinlan | Dietitian, Registered | 17 Angelica Ct, San Rafael, CA 94901-1327 | 2007-02-05 |
| 1437797271 | Alicia Pontecorvo | Dietitian, Registered | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-12-11 |
| 1922640366 | Alyssa Riederman | Dietitian, Registered | 3260 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-10-16 |
| 1174011480 | James Dillon Griffith | Dietitian, Registered | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2018-04-23 |
| 1922548916 | Ayah El-beshbeeshy | Dietitian, Registered | 3260 Kerner Blvd, A, San Rafael, CA 94901-4840 | 2017-02-24 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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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.