KELLY TOMITA


Address: 260 Branch St, Apt C, San Luis Obispo, CA 93401-5066
Phone: 9496839176

KELLY TOMITA (NPI# 1922629385) 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) 1922629385
Entity Type Individual
Full Name KELLY TOMITA
Credential MS, RD
Practice Address 260 Branch St
Apt C
San Luis Obispo
CA 93401-5066
Mailing Address 893 Marsh St
# 1885
San Luis Obispo
CA 93401-3699
Practice Telephone 9496839176
Practice Fax Number 8055495066
Mailing Telephone 9496839176
Mailing Fax Number 8055495066
Enumeration Date 2020-04-27
Last Update Date 2020-10-01
NPI Deactivation Date 04/27/2020
NPI Reactivation Date 2020-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86063722 CA Dietary & Nutritional Service Providers

Office Location

Street Address 260 BRANCH ST
APT C
City SAN LUIS OBISPO
State CA
Zip Code 93401-5066

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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
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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
1710524897 Megan Coats Dietitian, Registered 2933 Augusta St Apt 3, San Luis Obispo, CA 93401-5854 2019-12-08
1679117220 Heather Kathleen Donovan Dietitian, Registered 1941 Johnson Ave Ste 105b, San Luis Obispo, CA 93401-4140 2019-11-06
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

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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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