MS. JODIE LYNN PORGES (NPI# 1053692822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053692822 |
| Entity Type | Individual |
| Full Name | MS. JODIE LYNN PORGES |
| Credential | RR, CDE |
| Practice Address |
1300 Crane St Menlo Park CA 94025 |
| Mailing Address |
Po Box 742244 Los Angeles CA 90074-2244 |
| Practice Telephone | 6504986500 |
| Mailing Telephone | 6504986500 |
| Mailing Fax Number | 5109748322 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | RD940744 | CA | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | LD.6128 | OH | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Crane St, Menlo Park, CA 94025 | 6504986500 |
| Street Address |
1300 CRANE ST |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617583 | Eileen V. Moy | Internal Medicine | 1300 Crane St, Menlo Park, CA 94025-4260 | 2005-05-27 |
| 1427411206 | Kevin Kuo | Internal Medicine | 1300 Crane St, Menlo Park, CA 94025-4260 | 2016-03-30 |
| 1437492147 | Jenna T Nguyen | Internal Medicine | 1300 Crane St, Menlo Park, CA 94025 | 2013-04-01 |
| 1851652242 | Kamilee Willow Christenson | Obstetrics & Gynecology | 1300 Crane St, Menlo Park, CA 94025-4260 | 2012-06-03 |
| 1659647386 | Stacy Porter | Internal Medicine | 1300 Crane St, Menlo Park, CA 94025-4260 | 2012-03-27 |
| 1235428038 | Tiffany Ly | Internal Medicine | 1300 Crane St, Menlo Park, CA 94025-4260 | 2011-04-01 |
| 1992977573 | Thomas J. Fiene | Internal Medicine | 1300 Crane St, Menlo Park, CA 94025-4260 | 2008-03-24 |
| 1891965448 | Jeffrey Scott Powers | Physician Assistant | 1300 Crane St, Menlo Park, CA 94025-4260 | 2008-03-10 |
| 1861606253 | Susan Fay Benedick | Internal Medicine | 1300 Crane St, Menlo Park, CA 94025-4429 | 2007-05-09 |
| 1174749956 | Alan Pinyavat | Internal Medicine | 1300 Crane St, 2n, Menlo Park, CA 94025-4260 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| 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 |
|---|---|---|---|---|
| 1851843130 | Gretchen Flanagan | Dietitian, Registered | 1901 Palo Alto Way, Menlo Park, CA 94025-6139 | 2016-11-02 |
| 1437604246 | Darshana P Kaliyaperumal | Dietitian, Registered | 795 Willow Rd Bldg 360gr105, Menlo Park, CA 94025-2539 | 2016-08-22 |
| 1649582115 | Marilyn Bobbin | Dietitian, Registered | 843 Roble Ave, #3, Menlo Park, CA 94025-4946 | 2010-07-13 |
| 1902033053 | Barbara Quintanilla | Dietitian, Registered | 771 16th Ave, Menlo Park, CA 94025-2024 | 2009-06-16 |
| 1679066179 | Julianne Yuriko Kanzaki | Dietitian, Registered | 925 Hamilton Ave, Menlo Park, CA 94025-1431 | 2018-06-08 |
| 1124427471 | Michelle Truong-leikauf | Dietitian, Registered | 795 Willow Rd, 360 G, Room 105, Menlo Park, CA 94025-2539 | 2014-08-21 |
| 1275800518 | Bryan X Lian | Dietitian, Registered | 1225 Crane St, Suite 205, Menlo Park, CA 94025-4257 | 2011-11-30 |
| 1235306184 | Diane D Hester | Dietitian, Registered | 1300 Crane Street, Menlo Park, CA 94025-4429 | 2008-05-09 |
| 1528164035 | Jacqueline S Kershner | Dietitian, Registered | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2006-09-15 |
| 1154334456 | Rosario Marcos Martires | Dietitian, Registered | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2006-08-15 |
| Find all providers in MENLO PARK | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
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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.