ALYSSA TENNENBAUM GONG (NPI# 1982239687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982239687 |
| Entity Type | Individual |
| Full Name | ALYSSA TENNENBAUM GONG |
| Credential | RD, LAC, CDCES |
| Practice Address |
2634 Piedmont Ave Berkeley CA 94704-3413 |
| Practice Telephone | 3107491888 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 636958 | Dietary & Nutritional Service Providers | |
| N | 171100000X | Acupuncturist | 17272 | CA | Other Service Providers |
| Street Address |
2634 PIEDMONT AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| 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 |
|---|---|---|---|---|
| 1396374419 | Casey Kettering | Dietitian, Registered | 2081 Center St, Berkeley, CA 94704-1204 | 2020-04-02 |
| 1063929719 | Angelica Gayatri Saldivar | Dietitian, Registered | 2423 Prospect St, Berkeley, CA 94704-2551 | 2018-01-03 |
| 1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
| 1508227380 | Yasaman Ansari | Dietitian, Registered | 2227 Piedmont Ave # 170-k, Berkeley, CA 94720-4162 | 2016-03-08 |
| 1063839629 | Tiffany Horne | Dietitian, Registered | 2952 College Ave Apt 5, Berkeley, CA 94705-2213 | 2014-03-20 |
| 1043655061 | Suzanne A Nelson | Dietitian, Registered | 2227 Piedmont Ave, Simpson Center Rm 170d, Berkeley, CA 94720-2325 | 2013-05-03 |
| 1891068250 | Kristen Rasmussen | Dietitian, Registered | Health Matters Uhs, 2222 Bancroft Way, Berkeley, CA 94720-0001 | 2012-02-15 |
| 1245560754 | Dorothea Olga Michalik | Dietitian, Registered | 3030 Telegraph Ave, Berkeley, CA 94705-2037 | 2010-01-05 |
| 1629252341 | Susan Bessler | Dietitian, Registered | 2428 Prince St, Berkeley, CA 94705-2006 | 2007-12-18 |
| 1811058274 | Shari Hollander | Dietitian, Registered | 2705 Alcatraz Ave, Berkeley, CA 94705 | 2006-12-12 |
| Find all providers in BERKELEY | ||||
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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.