NATASHA DAWN BORDEAUX (NPI# 1639734890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639734890 |
| Entity Type | Individual |
| Full Name | NATASHA DAWN BORDEAUX |
| Practice Address |
Hwy 160 Mp 394.3 Kayenta AZ 86033 |
| Mailing Address |
Po Box 915 Kayenta AZ 86033-0915 |
| Practice Telephone | 9286974000 |
| Mailing Telephone | 9286974210 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |
| 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 |
HWY 160 MP 394.3 |
| City | KAYENTA |
| State | AZ |
| Zip Code | 86033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558342576 | Daniel Jones | Family Medicine | Hwy 160 Mp 394.3, Kayenta, AZ 86033 | 2005-11-08 |
| 1871100321 | Letcher Conley Beck Jr. | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-09-29 |
| 1770192973 | Jeremy King | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-07-24 |
| 1588272751 | Tracie Lane Stafford | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-07-14 |
| 1508498346 | Donna Ellen Bradley | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-02-10 |
| 1417589250 | Debra Summerfield | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033 | 2020-02-10 |
| 1972133627 | Gillian Sowers | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-01-22 |
| 1073158572 | Jeff Craig | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033 | 2019-11-08 |
| 1700448024 | Marc J Puglia | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2019-07-08 |
| 1427619204 | Jessica Rivera | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2019-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048306 | Pauletta A Butterfly | Social Worker | Hwy. 160 Mp 394.3, Kayenta, AZ 86033 | 2019-11-20 |
| 1871143255 | Andrea Dawn Begay | Nurse's Aide | Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1083264451 | Mavis Ann Bahe | Nurse's Aide | Kayenta Health Center, Us Hwy 160, Mp 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1609420165 | Emily Ingram Nimon | Registered Nurse | Kayenta Health Center Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-08-01 |
| 1700439577 | Sherri A Verdon | Registered Nurse | Hwy 160 M.p 394.3, Kayenta, AZ 86033 | 2019-07-22 |
| 1447712104 | Cynthia Kaye Robbins | Registered Nurse | Us Highway 160 Mile Post 394.3, Kayenta, AZ 86033 | 2019-04-02 |
| 1871051052 | Brian Jason Miller | Registered Nurse | Hwy 160, Mile Post 394.3, Kayenta, AZ 86033 | 2019-03-07 |
| 1265915615 | Marissa Brooke Wall | Optometrist | 394.3 Us-160, Kayenta, AZ 86033 | 2018-09-12 |
| 1467952762 | Michael Ruddy | Pharmacist | Hwy 160 1/2 Mile South of Mile Post 394.3, Kayenta, AZ 86033 | 2018-02-14 |
| 1922516319 | Xavier Kelton Nelson | Spec/Tech, Pathology | Highway 160 Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 | 2018-01-19 |
| Find all providers in zip 86033 | ||||
| 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 |
|---|---|---|---|---|
| 1972604635 | Samantha Jean Smith | Dietitian, Registered | Po Box 368, Kayenta, AZ 86033-0368 | 2006-09-26 |
| 1235109505 | Kwang Kim | Dietitian, Registered | Kayenta Phs Health Clinic, Hwy 160 and 163, Kayenta, AZ 86033 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395497 | Emily Verebelyi | Dietitian, Registered | 7525 E Placita De La Poesia, Tucson, AZ 85750-7200 | 2020-11-01 |
| 1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
| 1346849023 | Emmie Mae Olivas | Dietitian, Registered | 1126 N Melody Cir, Chandler, AZ 85225-1695 | 2020-10-22 |
| 1699373985 | Ke Luo | Dietitian, Registered | 8771 N Ash Grove Ct, Tucson, AZ 85742-1411 | 2020-10-09 |
| 1740897859 | Gabrielle Dunlavey | Dietitian, Registered | 7950 E Starlight Way Unit 144, Scottsdale, AZ 85250-6133 | 2020-09-24 |
| 1558977538 | Michelle Hathaway | Dietitian, Registered | 10752 N 89th Pl Ste 114b, Scottsdale, AZ 85260-6730 | 2020-09-16 |
| 1770194615 | Lauren Ashley Duda | Dietitian, Registered | 5917 E Kings Ave, Scottsdale, AZ 85254-1318 | 2020-08-13 |
| 1407467343 | Emily Claire Pelham | Dietitian, Registered | 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 | 2020-08-13 |
| 1225648827 | Kelly Michelle Clarken | Dietitian, Registered | 3220 W Ina Rd Apt 4202, Tucson, AZ 85741-2164 | 2020-08-07 |
| 1528678232 | Jodi Roark Charvoz | Dietitian, Registered | 5202 E 4th St, Tucson, AZ 85711-2302 | 2020-08-06 |
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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.