MS. BETHANY ELAM (NPI# 1043525876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043525876 |
| Entity Type | Individual |
| Full Name | MS. BETHANY ELAM |
| Credential | RD |
| Practice Address |
315 Medina Way Newport Beach CA 92661-1215 |
| Practice Telephone | 7035985087 |
| Mailing Telephone | 7035985087 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 958358 | Dietary & Nutritional Service Providers |
| Street Address |
315 MEDINA WAY |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92661-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487030177 | Kaylin Zabienski | Marriage & Family Therapist | 933 W Balboa Blvd Apt B, Newport Beach, CA 92661-1001 | 2015-08-04 |
| 1285920520 | Ocean Recovery, LLC | Substance Abuse Rehabilitation Facility | 1217 W Bay Ave, Newport Beach, CA 92661-1018 | 2011-06-24 |
| 1841721453 | Carl Matthew Adler | Behavior Technician | 1115 W Balboa Blvd Apt 5, Newport Beach, CA 92661-1037 | 2017-03-24 |
| 1811283278 | Ocean Recovery, LLC | Substance Abuse Rehabilitation Facility | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2011-06-23 |
| 1477053767 | Jason Patrick Pate I | Technician | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2018-02-14 |
| 1396259875 | Joshua Lecker | Counselor | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-11-20 |
| 1912429465 | Jeremy Paul Bowden | Behavior Technician | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-07-15 |
| 1104358589 | Holly Kuhn | Counselor | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-04-03 |
| 1124205067 | Kelli A. Fox | Hospice Care, Community Based | 1230 W Balboa Blvd, #e, Newport Beach, CA 92661-1061 | 2008-01-22 |
| 1194921270 | Balboa Horizons Recovery Services Lp | Substance Abuse Rehabilitation Facility | 1132 W Balboa Blvd, Newport Beach, CA 92661-1091 | 2007-06-25 |
| Find all providers in zip 92661 | ||||
| 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 |
|---|---|---|---|---|
| 1720686603 | Liz Caz Nutrition | Dietitian, Registered | 2138 Loggia, Newport Beach, CA 92660-9038 | 2020-10-13 |
| 1265069413 | Susan Diane Cozad | Dietitian, Registered | 126 1/2 33rd St, Newport Beach, CA 92663-3028 | 2020-03-26 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1104310036 | Kristen Ellis | Dietitian, Registered | 2121 Baypointe Dr, Newport Beach, CA 92660-8518 | 2018-06-14 |
| 1902313752 | Tallene Hacatoryan | Dietitian, Registered | 1220 Bison Ave Ste A6, Newport Beach, CA 92660-4261 | 2018-01-02 |
| 1659882975 | Jenna Kaitlin Long | Dietitian, Registered | 1100 Quail St Ste 110, Newport Beach, CA 92660-2779 | 2017-10-12 |
| 1013362557 | Courtney Dair Toya | Dietitian, Registered | 1300 Quail St Ste 105, Newport Beach, CA 92660-2711 | 2016-05-03 |
| 1184015174 | April Murray | Dietitian, Registered | 3416 Via Oporto, Suite 301, Newport Beach, CA 92663-3932 | 2015-02-11 |
| 1083003123 | Kimberly Storm | Dietitian, Registered | 1601 Avocado Ave Ste 100, Newport Beach, CA 92660-7798 | 2015-01-13 |
| 1669871695 | Taylor Leigh Carroll | Dietitian, Registered | 1840 Park Newport Apt 314, Newport Beach, CA 92660-5057 | 2014-08-14 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92661 |
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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.