NIA NICOLE CARRILLO (NPI# 1073088431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073088431 |
| Entity Type | Individual |
| Full Name | NIA NICOLE CARRILLO |
| Credential | MS, RYT, RMT |
| Practice Address |
4114 Swift Ave Apt 5 San Diego CA 92104-2249 |
| Practice Telephone | 1702244013 |
| Mailing Telephone | 1702244013 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
4114 SWIFT AVE APT 5 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92104-2249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| 1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
| 1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
| Find all providers in zip 92104 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033749221 | Michelle Menogue | Nutritionist | 13106 Roundup Ave, San Diego, CA 92129-2453 | 2020-01-16 |
| 1245748680 | Christine Ann Van Tassel | Nutritionist | 12245 Carmel Vista Rd Unit 290, San Diego, CA 92130-2532 | 2018-01-19 |
| 1295274710 | Autumn Fladmo Smith | Nutritionist | 4933 Juneberry Ct, San Diego, CA 92123-6434 | 2017-02-16 |
| 1659759215 | Nanci Tunley | Nutritionist | 3560 Albatross, San Diego, CA 92103 | 2015-05-14 |
| 1730509100 | Karen Roth Nutrition | Nutritionist | 2436 Baja Cerro Cir, San Diego, CA 92109-1541 | 2014-04-23 |
| 1194086835 | Van Hai Chung | Nutritionist | 8148 Genesee Ave Apt 139, San Diego, CA 92122-1462 | 2012-05-30 |
| 1356639462 | Gabriela Burke-armijo | Nutritionist | 1845 Logan Ave, San Diego, CA 92113-2111 | 2011-07-11 |
| 1366745242 | Kristin Wilhite | Nutritionist | 2801 Camino Del Rio S Ste 211, San Diego, CA 92108-3860 | 2010-12-14 |
| 1003149055 | Marc Alan Shearer | Nutritionist | 4811 Mansfield St, San Diego, CA 92116-1979 | 2009-09-09 |
| 1306474812 | Lorena Amparo Oropeza Oregel | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-03-30 |
| Find all providers in SAN DIEGO | ||||
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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.