KATHRYN V WOECKENER (NPI# 1831526953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831526953 |
| Entity Type | Individual |
| Full Name | KATHRYN V WOECKENER |
| Other Name | KATHRYN V MILLER |
| Credential | R.D. |
| Practice Address |
100 E Valencia Mesa Dr Suite 105 Fullerton CA 92835-3813 |
| Mailing Address |
200 W Center Street Promenade Suite 400 Anaheim CA 92805-3960 |
| Practice Telephone | 7144494950 |
| Mailing Telephone | 7144494841 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
1006544 | CA | Dietary & Nutritional Service Providers |
| Street Address |
100 E VALENCIA MESA DR SUITE 105 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795449 | Raed Ali | Orthopaedic Surgery | 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 | 2005-07-26 |
| 1083088678 | Monica Martyn | Dietitian, Registered | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2015-11-19 |
| 1972991149 | Megan Somerville Wroe | Dietitian, Registered | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2014-12-22 |
| 1457750762 | Linda Cox | Registered Nurse | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2014-08-22 |
| 1952700320 | Cynthia Crystal Carrasco-gonzalez | Registered Nurse | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2014-08-21 |
| 1548697311 | Theodore Pastrana Md., Apc | Preferred Provider Organization | 100 E Valencia Mesa Dr, Ste. 100, Fullerton, CA 92835-3813 | 2013-10-10 |
| 1588001267 | Ricarda Benz Md, Inc | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, Suite 215, Fullerton, CA 92835-3813 | 2013-06-04 |
| 1518302777 | Gordon Gunn M.d Inc A Medical Corporation | Specialist | 100 E Valencia Mesa Dr, # 215, Fullerton, CA 92835-3813 | 2013-05-01 |
| 1770831521 | Aileen Sabio Estrada | Physician Assistant | 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 | 2012-08-28 |
| 1053682971 | Bowen Jiang | Neurological Surgery | 100 E Valencia Mesa Dr, Fullerton, CA 92835-3813 | 2012-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454721 | Julia Lynne Matel | Dietitian, Registered | 750 Welch Rd Ste 115, Palo Alto, CA 94304-1508 | 2020-10-09 |
| 1144859216 | Kristen Anne Coleman | Dietitian, Registered | 215 N. Fresno Suite 370, Fresno, CA 93701-9370 | 2020-04-02 |
| 1679107981 | Maryann Tomovich Jacobsen | Dietitian, Registered | 9820 Willow Creek Rd Ste 490, San Diego, CA 92131-1128 | 2020-02-25 |
| 1619450285 | Minerva Valencia | Dietitian, Registered | 9254 Sagewood Ct, Gilroy, CA 95020-8209 | 2018-09-10 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1033630132 | Ellen Mackenzie Mccloy | Dietitian, Registered | 4650 W Sunset Blvd # 40, Los Angeles, CA 90027-6062 | 2017-06-29 |
| 1366962086 | Lucia Eugenia Briceno | Dietitian, Registered | 4650 W Sunset Blvd # 8, Los Angeles, CA 90027-6062 | 2017-06-23 |
| 1912427972 | Esther Berenhaut | Dietitian, Registered | 4650 W Sunset Blvd # Ms 40, Los Angeles, CA 90027-6062 | 2017-06-21 |
| 1134653157 | Hector Diaz Hernandez | Dietitian, Registered | 401 Villa Ave Apt 156, Clovis, CA 93612-0884 | 2017-04-17 |
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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.