MRS. KARISSA ANNE BOUCHIE (NPI# 1821275942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821275942 |
| Entity Type | Individual |
| Full Name | MRS. KARISSA ANNE BOUCHIE |
| Credential | RD, LD, CDE |
| Practice Address |
2823 Fresno Street Community Regional Medical Center Fresno CA 93701 |
| Mailing Address |
2823 Fresno St Fresno CA 93721-1324 |
| Practice Telephone | 5594592882 |
| Mailing Telephone | 5592533748 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2013-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2279 | MN | Dietary & Nutritional Service Providers |
| Street Address |
2823 FRESNO STREET COMMUNITY REGIONAL MEDICAL CENTER |
| City | FRESNO |
| State | CA |
| Zip Code | 93701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538271374 | Bridget Nester Petrillo | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2006-08-31 |
| 1841840931 | Kelsea Chun | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Anesthesia Department, Fresno, CA 93721 | 2019-09-19 |
| 1184050882 | Kamala Basaula | Registered Nurse | 2823 Fresno Street, Fresno, CA 93721-1365 | 2013-09-25 |
| 1881931897 | Jay Isaac Tipton | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2013-01-10 |
| 1376891812 | Harlan M Husted | Pharmacist | 2823 Fresno Street, Community Regional Med Ctr - Inpatient Pharmacy, Fresno, CA 93715 | 2012-08-15 |
| 1275891368 | Ann W Vu | Pharmacist | 2823 Fresno Street, Fresno, CA 93721 | 2012-04-26 |
| 1548537780 | Ravinder Singh | Registered Nurse | 2823 Fresno Street, Fresno, CA 93721-1365 | 2011-11-16 |
| 1306120779 | Kevin Immarri Hickman | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2011-10-04 |
| 1972784528 | Mary C Ghaffari | Pharmacist | 2823 Fresno Street, Crmc Pharmacy, Fresno, CA 93721-1324 | 2007-11-23 |
| 1811191687 | Floyd Bodden | Physician Assistant | 2823 Fresno Street, Fresno, CA 93721-1324 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| 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 |
|---|---|---|---|---|
| 1891393062 | Melanie Thomas | Dietitian, Registered | 4722 Pickridge Ct, Fresno, TX 77545-7529 | 2020-10-11 |
| 1093345423 | Mary Clare Ovalle | Dietitian, Registered | 10290 N Dearing Ave, Fresno, CA 93730-4772 | 2020-01-24 |
| 1669939385 | Lisa Herzig | Dietitian, Registered | 9898 N Millbrook Ave, Fresno, CA 93720-1313 | 2019-02-28 |
| 1063927655 | Teryn Cook Buchanan | Dietitian, Registered | 5305 N Fresno St Ste 103, Fresno, CA 93710-6845 | 2017-12-05 |
| 1801329214 | Leonila Campos | Dietitian, Registered | 4115 W Fremont Ave, Fresno, CA 93722-9001 | 2017-04-04 |
| 1770027583 | Lisa Naomi Martinez | Dietitian, Registered | 1816 W Cornell Ave, Fresno, CA 93705-3710 | 2016-12-13 |
| 1932641743 | Jana Mowrer | Dietitian, Registered | 6840 N Maple Ave Apt 258, Fresno, CA 93710-4587 | 2016-11-09 |
| 1245782515 | Danielle Lee | Dietitian, Registered | 842 E Fir Ave, Fresno, CA 93720-3232 | 2016-11-02 |
| 1942754932 | Emily Valdez | Dietitian, Registered | 2610 E Nees Ave Apt 272, Fresno, CA 93720-6023 | 2016-08-08 |
| 1780051417 | Alice Voluntad | Dietitian, Registered | 5522 N Ellendale Ave, Fresno, CA 93722-2507 | 2015-08-28 |
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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.