MR. DALE ANTHONY BETTENCOURT (NPI# 1194171645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194171645 |
| Entity Type | Individual |
| Full Name | MR. DALE ANTHONY BETTENCOURT |
| Credential | RD |
| Practice Address |
6600 Bruceville Rd Sacramento CA 95823-4671 |
| Practice Telephone | 9169685079 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 132700000X | Dietary Manager | 1033537 | CA | Dietary & Nutritional Service Providers |
| Street Address |
6600 BRUCEVILLE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254295 | Lon Jacobus Taff | Obstetrics & Gynecology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2005-09-08 |
| 1770195232 | Alexi Taylor Spoto | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-08-17 |
| 1134747306 | Poline Chhun Engeman X | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-07-13 |
| 1659904365 | Regan Watson | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1740813443 | Caitlin Elizabeth Galvez | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1750912119 | Maria Monserrat Perez | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-03 |
| 1699312645 | Kayla Renee Hazel | Speech-Language Pathologist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-12-09 |
| 1366087553 | Michelle Schiltz | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823 | 2019-11-12 |
| 1013564145 | Katheirne Anne Lloyd | Dietitian, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-22 |
| 1699320077 | Sarah Lackey | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289825 | Steven Richard Lindsay | Dietary Manager | 1706 Glen Kippen Ln, Clovis, CA 93619-2870 | 2019-11-07 |
| 1902259781 | Ayde Colin | Dietary Manager | 102 Ladera Dr, Santa Cruz, CA 95060-5254 | 2016-07-18 |
| 1982080578 | Parvaneh Lalezari | Dietary Manager | 18410 Wells Dr, Tarzana, CA 91356-4221 | 2015-08-05 |
| 1043628910 | Carol Habercoss | Dietary Manager | 6955 Foothill Blvd Ste 188, Oakland, CA 94605-2455 | 2014-07-23 |
| 1609282573 | Jessica Woodruff | Dietary Manager | 4929 Oakwood Ave, La Canada, CA 91011-2543 | 2014-07-10 |
| 1891119616 | Soheyla Safe Hashemi | Dietary Manager | 24585 Town Center Dr, 4403, Valencia, CA 91355-1366 | 2014-02-13 |
| 1902231749 | Nana Rushka Stark | Dietary Manager | 538 N. Mansfield Avenue, Los Angeles, CA 90036-2612 | 2013-09-11 |
| 1295092229 | Shane Fit | Dietary Manager | 134 Teatown Road, Croton On Hudson, CA 90265 | 2012-04-16 |
| 1730453069 | Gala Gabriela Byroff | Dietary Manager | 7810 Via Genova, Burbank, CA 91504-1118 | 2012-03-05 |
| 1982988317 | Charmene Marjorie Vega | Dietary Manager | 10015 Cinderella Ave, Bakersfield, CA 93311-2994 | 2011-10-04 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.