HEATHER KATHLEEN DONOVAN


Address: 1941 Johnson Ave Ste 105b, San Luis Obispo, CA 93401-4140
Phone: 8057866170

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CAQH PROVIEW 14572010 01

Other Providers HEATHER DONOVAN

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

Office Location

Street Address 1941 JOHNSON AVE STE 105B
City SAN LUIS OBISPO
State CA
Zip Code 93401-4140

Providers in the same zip code

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 Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

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.

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