HEATHER KATHLEEN DONOVAN (NPI# 1679117220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679117220 |
Entity Type | Individual |
Full Name | HEATHER KATHLEEN DONOVAN |
Credential | MS, RDN |
Practice Address |
1941 Johnson Ave Ste 105b San Luis Obispo CA 93401-4140 |
Mailing Address |
1400 E. Church Street Att- Medical Staff Office Santa Maria CA 93454 |
Practice Telephone | 8057866170 |
Enumeration Date | 2019-11-06 |
Last Update Date | 2019-11-20 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CAQH PROVIEW | 14572010 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184015711 | Heather Donovan | Developmental Therapist | 448 Poplar Church Rd, Camp Hill, PA 17011-1830 | 2015-02-18 |
1124635685 | Heather Patricia Donovan | Counselor | 385 Court St, Plymouth, MA 02360-7304 | 2020-09-29 |
1891315701 | Heather Lynne Donovan | Physical Therapy Assistant | 3201 4th St, Longview, TX 75605-5145 | 2020-04-21 |
1841715109 | Heather Anne Donovan | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2017-08-08 |
1558666479 | Heather Donovan | Occupational Therapist | 157 Baltimore St, Cumberland, MD 21502-2472 | 2011-01-25 |
1073687133 | Heather Anne Donovan | Pharmacist | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2006-11-20 |
1366431199 | Heather L Donovan | Nurse Practitioner | 1400 S Orange Ave, Orlando, FL 32806-2134 | 2005-10-14 |
Street Address |
1941 JOHNSON AVE STE 105B |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93401-4140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
Find all providers in zip 93401 |
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 |
---|---|---|---|---|
1912519463 | Lauren Nicole Macleod | Dietitian, Registered | 411 E Foothill Blvd Apt 1, San Luis Obispo, CA 93405-1669 | 2020-08-17 |
1922629385 | Kelly Tomita | Dietitian, Registered | 260 Branch St, Apt C, San Luis Obispo, CA 93401-5066 | 2020-04-27 |
1710524897 | Megan Coats | Dietitian, Registered | 2933 Augusta St Apt 3, San Luis Obispo, CA 93401-5854 | 2019-12-08 |
1629623020 | Not Your Average Nutritionist | Dietitian, Registered | 1264 Higuera St Ste 108a, San Luis Obispo, CA 93401-3184 | 2019-08-03 |
1609301290 | Megan Lomax | Dietitian, Registered | 747 Leff St, San Luis Obispo, CA 93401-4424 | 2017-04-20 |
1205299013 | Courtney Kay Kinder | Dietitian, Registered | 1264 Higuera St Ste 102, San Luis Obispo, CA 93401-3171 | 2016-03-30 |
1063834984 | Elizabeth Parker | Dietitian, Registered | 1360 Laurel Ln Apt 8, San Luis Obispo, CA 93401-5827 | 2014-01-12 |
1578840898 | Maureen Ann Eyerman | Dietitian, Registered | 929 Isabella Way, San Luis Obispo, CA 93405-6186 | 2011-11-15 |
1346472032 | Rachael M Drake | Dietitian, Registered | 756 Palm St, San Luis Obispo, CA 93401-3522 | 2009-08-14 |
1215952429 | Leslie Richards | Dietitian, Registered | 1318 Johnson Ave, San Luis Obispo, CA 93401-3314 | 2006-07-12 |
Find all providers in SAN LUIS OBISPO |
City | SAN LUIS OBISPO |
Zip Code | 93401 |
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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.