LAURA RUTH DISHAROON (NPI# 1114163334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114163334 |
| Entity Type | Individual |
| Full Name | LAURA RUTH DISHAROON |
| Credential | MS, RD |
| Practice Address |
222 Weller St Ste 4 Petaluma CA 94952-7106 |
| Practice Telephone | 4153701654 |
| Mailing Telephone | 4153701654 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 990826 | CA | Dietary & Nutritional Service Providers |
| Street Address |
222 WELLER ST STE 4 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1477161370 | Kara Harris | Dietitian, Registered | 704 Keokuk St, Petaluma, CA 94952-2139 | 2020-07-16 |
| 1902391071 | Dan Loewensteiner | Dietitian, Registered | 1714 Stone Creek Dr, Petaluma, CA 94954-7441 | 2018-06-29 |
| 1801316955 | Tommy Ronquillo | Dietitian, Registered | 244 Park Place Dr, Petaluma, CA 94954-6636 | 2017-06-20 |
| 1467993436 | Bryanna Samborski | Dietitian, Registered | 1310 Redwood Way, Petaluma, CA 94954-1100 | 2017-03-10 |
| 1306387451 | Tiffany Torok | Dietitian, Registered | 1640 Northstar Dr, Petaluma, CA 94954-6622 | 2017-03-08 |
| 1124457205 | Kristal Shelden | Dietitian, Registered | 25 Del Sol Ct, Petaluma, CA 94954-5712 | 2013-11-08 |
| 1275800484 | Denise Mark | Dietitian, Registered | 1031 Lakeville Cir, Petaluma, CA 94954-5747 | 2011-11-17 |
| 1962998823 | Crysta Pollitt | Dietitian, Registered | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2018-07-03 |
| 1851750624 | Veronica Alyse Benjamin | Dietitian, Registered | 320 Western Ave, Petaluma, CA 94952-2919 | 2016-02-22 |
| 1841352473 | Mary Lynne Lamb | Dietitian, Registered | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2006-12-13 |
| Find all providers in PETALUMA | ||||
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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.