MISS LEESHA TAN KELLER (NPI# 1912132879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912132879 |
| Entity Type | Individual |
| Full Name | MISS LEESHA TAN KELLER |
| Credential | REGISTERED DIETITIAN |
| Practice Address |
4111 Mount Cantara Cir Corona CA 92882-7942 |
| Practice Telephone | 9512581928 |
| Practice Fax Number | 9512726737 |
| Mailing Telephone | 9512581928 |
| Mailing Fax Number | 9512726737 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 456090 | IL | Dietary & Nutritional Service Providers |
| Street Address |
4111 MOUNT CANTARA CIR |
| City | CORONA |
| State | CA |
| Zip Code | 92882-7942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| 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 |
|---|---|---|---|---|
| 1255938247 | Sameh Mahfouz | Dietitian, Registered | 957 Stonehenge Cir, Corona, CA 92881-7435 | 2020-10-03 |
| 1134733470 | Camilla Ahlqvist | Dietitian, Registered | 241 W Rincon St, Corona, CA 92878-4050 | 2020-09-03 |
| 1285264853 | Ayako Hoblick | Dietitian, Registered | 27595 Edgemont Dr, Corona, CA 92883-6604 | 2020-01-22 |
| 1750847810 | Alison Griffin | Dietitian, Registered | 244 Jason Ct, Corona, CA 92879-6101 | 2019-02-13 |
| 1720514375 | Alyssa Michelle Parcell | Dietitian, Registered | 8843 Cuyamaca St, Corona, CA 92883-2111 | 2017-05-02 |
| 1508397472 | Vida Saatsaz | Dietitian, Registered | 2608 Presidio Ln, Corona, CA 92879-7902 | 2017-03-23 |
| 1881137180 | Kayla Knight | Dietitian, Registered | 2471 Kennedy Dr, Corona, CA 92879-5849 | 2016-11-18 |
| 1770978348 | Cammie Nguyen | Dietitian, Registered | 1210 Via Blairo Cir, Corona, CA 92879-8880 | 2015-04-01 |
| 1194123000 | Samah Itani Shakhshir | Dietitian, Registered | 2971 Mcdonald Ln, Corona, CA 92881-8213 | 2014-12-09 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| Find all providers in CORONA | ||||
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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.