KELLEY MAY MESA (NPI# 1003310665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003310665 |
Entity Type | Individual |
Full Name | KELLEY MAY MESA |
Credential | MS,RD |
Practice Address |
1985 Yosemite Ave Ste 230 Simi Valley CA 93063-5200 |
Practice Telephone | 8058705588 |
Practice Fax Number | 8055128522 |
Mailing Telephone | 8058705588 |
Mailing Fax Number | 8055128522 |
Enumeration Date | 2018-03-20 |
Last Update Date | 2020-06-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
1051125 | CA | Dietary & Nutritional Service Providers |
Y | 133V00000X | Dietitian, Registered | 1051125 | CA | Dietary & Nutritional Service Providers |
N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
1051125 | CA | Dietary & Nutritional Service Providers |
N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
1051125 | CA | Dietary & Nutritional Service Providers |
N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
1051125 | CA | Dietary & Nutritional Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
28632 Roadside Dr Ste 145, Agoura Hills, CA 913016016 | 8058705588 | 8055128522 |
Street Address |
1985 YOSEMITE AVE STE 230 |
City | SIMI VALLEY |
State | CA |
Zip Code | 93063-5200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790298206 | Debbie Ciulla | Marriage & Family Therapist | 1985 Yosemite Ave Ste 230, Simi Valley, CA 93063-5200 | 2017-11-07 |
1306453006 | Refresh Nutrition Incorporated | Dietitian, Registered | 1985 Yosemite Ave Ste 230, Simi Valley, CA 93063-5200 | 2020-09-26 |
1821643917 | Gina Belinda Collins | Marriage & Family Therapist | 1985 Yosemite Ave Ste 230, Simi Valley, CA 93063-5200 | 2019-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
1467925727 | Shelly Marie Spencer | Marriage & Family Therapist | 1985 Yosemite Ave Ste # 230, Simi Valley, CA 93063 | 2019-01-09 |
1245739150 | Hartounian Dental Group Inc. | Dentist | 4210 E Los Angeles Ave Ste F, Simi Valley, CA 93063 | 2018-02-06 |
1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
1598291064 | Golden Translating Services Inc | Community/Behavioral Health | 2112 Ralston Ave, Simi Valley, CA 93063 | 2017-05-03 |
1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
1164979332 | Megan Zigler | Specialist/Technologist | 2127 Atwater Ave, Simi Valley, CA 93063 | 2016-09-06 |
1700273521 | Jean Barker | Pharmacist | 5984 Yana Court, Simi Valley, CA 93063 | 2015-04-20 |
1992197248 | Pamela A. Riss | Marriage & Family Therapist | 2775 Tapo Street, Suite 204, Simi Valley, CA 93063 | 2015-02-24 |
1245580729 | Mary Aroyan | Marriage & Family Therapist | 3655 Alamo St Ste 202, Simi Valley, CA 93063 | 2012-09-12 |
Find all providers in zip 93063 |
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 |
---|---|---|---|---|
1760020580 | Brenda Marie Goshorn | Dietitian, Registered | 2722 Beth Pl, Simi Valley, CA 93065-1507 | 2019-12-11 |
1972000685 | Diem P Nguyen | Dietitian, Registered | 1667 Moonseed Ln, Simi Valley, CA 93065-7421 | 2018-04-09 |
1215441332 | Toni Jacalone | Dietitian, Registered | 2355 Madrone St, Simi Valley, CA 93065-2628 | 2017-11-28 |
1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
1538596143 | Stephanie Riley Stai | Dietitian, Registered | 685 Sandy Ave, Simi Valley, CA 93065-5140 | 2013-09-27 |
1932494580 | Patricia Ann Spencer | Dietitian, Registered | 6027 Mescallero Pl, Simi Valley, CA 93063-5703 | 2011-06-11 |
1881831634 | Cynthia Amelia Ray | Dietitian, Registered | 515 Aqueduct Ct., Simi Valley, CA 93065 | 2009-01-15 |
1194862441 | Marcia E Sack | Dietitian, Registered | 335 Fresh Meadows Rd, Simi Valley, CA 93065-6818 | 2007-01-30 |
1144250614 | Linda Vickers | Dietitian, Registered | 1129 Red Tail Way, Simi Valley, CA 93065-7232 | 2006-07-03 |
1619974870 | Judith Larcher Unikel | Dietitian, Registered | 2237 Oak Haven Ave, Simi Valley, CA 93063-5021 | 2005-07-02 |
Find all providers in SIMI VALLEY |
City | SIMI VALLEY |
Zip Code | 93063 |
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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.