ALESHA FORNER (NPI# 1063825099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063825099 |
| Entity Type | Individual |
| Full Name | ALESHA FORNER |
| Credential | RD |
| Practice Address |
100 California Dr Yountville CA 94599-1411 |
| Practice Telephone | 7079444862 |
| Practice Fax Number | 7079483332 |
| Mailing Telephone | 7079444862 |
| Mailing Fax Number | 7079483332 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1060922 | CA | Dietary & Nutritional Service Providers |
| Street Address |
100 CALIFORNIA DR |
| City | YOUNTVILLE |
| State | CA |
| Zip Code | 94599-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811751 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2005-09-20 |
| 1851911697 | Brandi M. Brown | Nurse Practitioner | 100 California Dr, Yountville, CA 94599-1411 | 2020-04-22 |
| 1528615655 | William Edward Dillon | Physical Therapy Assistant | 100 California Dr, Yountville, CA 94599-1411 | 2019-08-22 |
| 1194114025 | Laurie Joyce | Occupational Therapist | 100 California Dr, Rehabilitation Services, Yountville, CA 94599-1411 | 2015-01-15 |
| 1700286689 | Jolene Jow | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2014-08-28 |
| 1619380649 | Rebecca Bengle Dela Paz | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2014-06-06 |
| 1174964555 | Karla Goplen | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2013-07-12 |
| 1356782734 | Karen Bergold | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2013-07-12 |
| 1487997441 | Leann Alice Miller | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2013-03-28 |
| 1609011618 | Veterans Home of California | Clinic/Center | 100 California Dr, Yountville, CA 94599-1411 | 2008-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843167 | Veterans Home of California | Pharmacy | 123 California Drive, Yountville, CA 94599 | 2007-07-12 |
| 1215579511 | James David Vye Jr. | Physical Therapist | 1897 Hopper Way, Yountville, CA 94599-1212 | 2019-10-09 |
| 1215249875 | Boyd Patrick Dennington | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2010-07-11 |
| 1730522517 | Robert Roy Hampton IIi | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2013-04-11 |
| 1578928701 | Kimberly De Luna | Pharmacist | 123 California Dr, Yountville, CA 94599-1411 | 2015-12-14 |
| 1235441163 | Rachelle Marie Methner | Dietitian, Registered | 120 California Dr, Yountville, CA 94599-1411 | 2010-07-08 |
| 1396061255 | Carolyn A Clark | Social Worker | 150 California Dr, Yountville, CA 94599-1411 | 2010-04-15 |
| 1144412156 | Angela Brochu | Dietitian, Registered | 180 California Dr, Yountville, CA 94599-1411 | 2007-08-14 |
| 1033300470 | Lynne Alison Fredricksen | Dietitian, Registered | 110 California Dr, Yountville, CA 94599-1411 | 2007-08-08 |
| 1225236243 | Sharon A. Parda | Dietitian, Registered | 190 California Dr, Yountville, CA 94599-1411 | 2007-07-11 |
| Find all providers in zip 94599 | ||||
| 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 |
|---|---|---|---|---|
| 1235441163 | Rachelle Marie Methner | Dietitian, Registered | 120 California Dr, Yountville, CA 94599-1411 | 2010-07-08 |
| 1144412156 | Angela Brochu | Dietitian, Registered | 180 California Dr, Yountville, CA 94599-1411 | 2007-08-14 |
| 1033300470 | Lynne Alison Fredricksen | Dietitian, Registered | 110 California Dr, Yountville, CA 94599-1411 | 2007-08-08 |
| 1225236243 | Sharon A. Parda | Dietitian, Registered | 190 California Dr, Yountville, CA 94599-1411 | 2007-07-11 |
| 1326661877 | Kristina-marie L Gard | Dietitian, Registered | 260 California Dr, Yountville, CA 94599-1412 | 2020-05-19 |
| 1790202505 | Kevin Pitt | Dietitian, Registered | 190 California Dr, Yountville, CA 94599-1411 | 2017-08-23 |
| 1952766495 | Teressa Josephine Drake | Dietitian, Registered | 180 California Dr, Yountville, CA 94599-1411 | 2015-12-29 |
| 1700286689 | Jolene Jow | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2014-08-28 |
| 1619380649 | Rebecca Bengle Dela Paz | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2014-06-06 |
| 1174964555 | Karla Goplen | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2013-07-12 |
| Find all providers in YOUNTVILLE | ||||
| City | YOUNTVILLE |
| Zip Code | 94599 |
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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.