NICOLE DESIREE AL-SHAFIE


Address: 620 N Brand Blvd Ste 401, Glendale, CA 91203-1210
Phone: 4243452123

NICOLE DESIREE AL-SHAFIE (NPI# 1780102053) 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) 1780102053
Entity Type Individual
Full Name NICOLE DESIREE AL-SHAFIE
Practice Address 620 N Brand Blvd Ste 401
Glendale
CA 91203-1210
Mailing Address 3215 Overland Ave Apt 8167
Los Angeles
CA 90034-4546
Practice Telephone 4243452123
Mailing Telephone 4243452123
Enumeration Date 2017-09-06
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1013062 CA Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
11949 Jefferson Blvd Ste 106, Culver City, CA 902306336 4243452123

Office Location

Street Address 620 N BRAND BLVD STE 401
City GLENDALE
State CA
Zip Code 91203-1210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932754801 Sara Kashlan Dietitian, Registered 620 N Brand Blvd Ste 401, Glendale, CA 91203-1210 2019-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487115044 Family & Friends Home Health Care Inc Home Health 417 W Arden St Suite 106a, Glendale, CA 91203 2019-03-27
1801354758 Remedy Medical of California PC Emergency Medicine 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 2019-03-11
1609381730 Envoy Hospice Care Inc Hospice Care, Community Based 5002 N Central Ave Ste 510, Glendale, CA 91203 2017-12-12
1093227712 Goarik Susan Akopyan Case Manager/Care Coordinator 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 2017-11-03
1588190664 Vanessa Guzman Physician Assistant 600 N. Central Ave, 322, Glendale, CA 91203 2017-05-10
1114465796 Elizabeth Pedroza Estrada Case Manager/Care Coordinator 237 North Glendale, Glendale, CA 91203 2017-02-03
1477090934 Blue Med-ride Medical Transportation Non-emergency Medical Transport (VAN) 121 W Lexington Dr # L200, Glendale, CA 91203 2017-01-23
1427593557 Ofelia Oundjian Counselor 237 N Central Ave., Glendale, CA 91203 2016-12-28
1316396823 Shaunak Jaiprakash Intwala Pharmacist 330 N Brand Blvd Ste 155, Glendale, CA 91203 2016-06-06
1295117315 Luis Ernesto Garcia Artiga Licensed Vocational Nurse 500 N Central Ave Suite 250, Glendale, CA 91203 2015-06-25
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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
1518576339 Jenna Moore Dietitian, Registered 5414 W Hartford Ave, Glendale, AZ 85308-5321 2020-07-28
1861017303 Scm Nutrition Diet Inc Dietitian, Registered 2437 Bywood Drive, Glendale, CA 91206 2020-06-10
1174142939 Donna Marie Mercatante Dietitian, Registered 7816 76th St, Glendale, NY 11385-7443 2020-04-13
1952937815 Ani Aratounians Dietitian, Registered 222 Monterey Rd Unit 201, Glendale, CA 91206-2001 2020-03-22
1033742291 Kaitlyn Marie Shannon Dietitian, Registered 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 2020-02-17
1679032999 Nadine Bradley Dietitian, Registered 435 W Los Feliz Rd Unit 507, Glendale, CA 91204-3570 2019-03-16
1689130791 Vanessa R Infante Dietitian, Registered 570 S Dahlia Cir Apt H-105, Glendale, CO 80246-1373 2019-02-13
1013400035 Naira Gavurmadzhyan Dietitian, Registered 1316 Truitt St, Glendale, CA 91201-2341 2018-06-13
1356851075 Devon Elizabeth Cole Dietitian, Registered 100 N Brand Blvd Ste 213, Glendale, CA 91203-2641 2017-10-08
1447772835 Trekfit LLC Dietitian, Registered 9033 West State Avenue, Glendale, AZ 85305 2017-07-07
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Competitor

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City GLENDALE
Zip Code 91203

Improve Information

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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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