WEIGHT AWAY (NPI# 1952615957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952615957 |
| Entity Type | Organization |
| Organization Name | WEIGHT AWAY |
| Practice Address |
1895 Herndon Ave Suite 105 Clovis CA 93611 |
| Mailing Address |
255 W Bullard Suite 109 Clovis CA 93612 |
| Practice Telephone | 5592977563 |
| Mailing Telephone | 5592977563 |
| Mailing Fax Number | 5592975374 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |
| Authorized Official Name | JESSICA THACS (OFFICE MANAGER) |
| Authorized Official Telephone | 5592977565 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
00A786030 | CA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11201094 | 01 |
| Street Address |
1895 HERNDON AVE SUITE 105 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1447494398 | William Richard Silveira | Radiology | 785 North Medical Center Drive West, Clovis, CA 93611 | 2009-04-22 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404155 | Victoria Zhukova Shemer | Nutritionist | 39 Calypso, Irvine, CA 92618-1519 | 2020-10-10 |
| 1306444658 | Califia Suntree | Nutritionist | 3812 Jo Ann Dr, Sacramento, CA 95821-3819 | 2020-10-09 |
| 1538772520 | Alicia Manley | Nutritionist | 198 Berk Pl, Richmond, CA 94804-4219 | 2020-08-28 |
| 1780295089 | Autumn Beam | Nutritionist | 1437 N Los Robles Ave, Pasadena, CA 91104-2140 | 2020-08-11 |
| 1689292815 | Jodi Ann Sutherland | Nutritionist | 54910, Pine Crest Avenue, Idyllwild, CA 92549-9254 | 2020-07-14 |
| 1407471410 | Joyce Peters | Nutritionist | 9465 Wilshire Blvd Ste 300, Beverly Hills, CA 90212-2624 | 2020-06-15 |
| 1114542883 | Kim Evans | Nutritionist | 101 Gregory Ln Ste 25, Pleasant Hill, CA 94523-4915 | 2020-06-09 |
| 1013539717 | Susan Astrid Blanc | Nutritionist | 2303 Camino Ramon # 208, San Ramon, CA 94583-1392 | 2020-05-15 |
| 1245869445 | Janel Anderson | Nutritionist | 10865 Whitehorse Rd # 5, Truckee, CA 96161-1428 | 2020-04-08 |
| 1154958130 | Lonnele Ball | Nutritionist | 69 Northampton Ave, Berkeley, CA 94707-1714 | 2020-03-26 |
| Find all providers with the same taxonomy | ||||
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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.