JACQUELYN DEGRENDELE


Address: 39500 Liberty St, Fremont, CA 94538-2211
Phone: 4088870854

JACQUELYN DEGRENDELE (NPI# 1023305190) 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) 1023305190
Entity Type Individual
Full Name JACQUELYN DEGRENDELE
Practice Address 39500 Liberty St
Fremont
CA 94538-2211
Mailing Address 1245 W Campbell Ave Apt 3
Campbell
CA 95008-1734
Practice Telephone 4088870854
Mailing Telephone 4088870854
Enumeration Date 2011-07-08
Last Update Date 2011-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1040535 CA Dietary & Nutritional Service Providers

Office Location

Street Address 39500 LIBERTY ST
City FREMONT
State CA
Zip Code 94538-2211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295730935 Michele Viviene Bunker-alberts Nurse Practitioner 39500 Liberty St, Fremont, CA 94538-2211 2005-06-18
1285252254 Rajvir Kaur Sohal Nurse Practitioner 39500 Liberty St, Fremont, CA 94538-2211 2020-07-07
1912463365 Samantha Younes Dietitian, Registered 39500 Liberty St, Fremont, CA 94538-2211 2019-02-11
1295209047 Abibat Biodun Ajiboye Registered Nurse 39500 Liberty St, Fremont, CA 94538-2211 2019-01-15
1922507896 Britta Gabrielle Conlon Chiropractor 39500 Liberty St, Fremont, CA 94538-2211 2018-02-06
1124530365 Shabnam Janani Social Worker 39500 Liberty St, Fremont, CA 94538 2017-10-27
1376067280 Selena Kwan Hao Registered Nurse 39500 Liberty St, Fremont, CA 94538-2211 2017-08-01
1942734744 Alma Depizzo Nurse Practitioner 39500 Liberty St, Fremont, CA 94538-2211 2017-04-18
1154872323 Joshua Mckeever Psychologist 39500 Liberty St, Fremont, CA 94538-2211 2016-10-21
1548637382 Tegwyn Lewis-pine Nurse Practitioner 39500 Liberty St, Fremont, CA 94538-2211 2015-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394460 Bay Area Kidney Care Medical Group Inc. Clinic/Center 39370 Mozart Terrace Unit 106, Fremont, CA 94538 2020-04-13
1740847284 Gloria Ann Federico Behavior Technician 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2019-05-21
1093270688 Timothy Lorne Haynes Chiropractor 3775 Beacon Ave., Suite 200, Fremont, CA 94538 2019-02-07
1902370067 Nicole Sandoval Counselor 39155 Liberty St Suite E500, Fremont, CA 94538 2019-01-11
1497225015 Megan Galban Behavior Technician 39210 State St. Suite 220, Fremont, CA 94538 2018-11-27
1780154302 Karla Patricia Plascencia Behavior Technician 39210 State Street Suite 220, Fremont, CA 94538 2018-11-27
1215407846 Sydney J Torrens Behavior Technician 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2018-11-27
1932676277 Jarah Harvan Psychologist 1999 Mowry Ave Ste F, Fremont, CA 94538 2018-10-24
1205321965 Chien Shien Yang Md Inc Psychiatry & Neurology 1860 Mowry Ave Ste 301a, Fremont, CA 94538 2018-06-26
1912416199 Advanced Interventional Surgical Center Clinic/Center 3077 Stevenson Blvd, Fremont, CA 94538 2017-09-20
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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
1912507831 Aneeta Maria Vedula Dietitian, Registered 4371 Lombard Ave, Fremont, CA 94536-4929 2020-10-29
1427665785 Elisabeth E Byers Dietitian, Registered 405 Rancho Arroyo Pkwy Apt 360, Fremont, CA 94536-2751 2020-09-30
1457969404 Morea Madeline Donahue Dietitian, Registered 39939 Stevenson Cmn Apt 1073, Fremont, CA 94538-5341 2020-07-15
1992282289 Luz Aceves Gonzalez Dietitian, Registered 38623 Cherry Ln Apt 134, Fremont, CA 94536-4207 2018-07-19
1386094233 Wei Yuan Dietitian, Registered 4794 Mallard Cmn, Fremont, CA 94555-2830 2016-06-21
1629457171 Kathy Bourque Dietitian, Registered 5478 Ontario Cmn, Fremont, CA 94555-2928 2015-05-29
1174964498 Karen Tsui Dietitian, Registered 1860 Mowry Ave Ste 402, Fremont, CA 94538-1730 2013-07-15
1649617580 Gay Lind Winterringer Dietitian, Registered 52 Zacate Pl, Fremont, CA 94539-3054 2013-06-02
1740529049 Priya Prakash Prabakar Dietitian, Registered 37710 Carriage Circle Cmn, Fremont, CA 94536-7076 2013-02-06
1205169570 Jamie Ro Dietitian, Registered 39650 Liberty St., Ste #300, Fl3, Fremont, CA 94538-2227 2009-09-17
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Competitor

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City FREMONT
Zip Code 94538

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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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