BETSY HENNESSY


Address: 3100 Douglas Blvd, Roseville, CA 95661-3866
Phone: 9167748885

BETSY HENNESSY (NPI# 1205341096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205341096
Entity Type Individual
Full Name BETSY HENNESSY
Credential RD,CSR
Practice Address 3100 Douglas Blvd
Roseville
CA 95661-3866
Mailing Address 10470 Old Placerville Rd Ste 100
Sacramento
CA 95827-2539
Practice Telephone 9167748885
Practice Fax Number 9167748818
Mailing Telephone 8004700071
Enumeration Date 2017-12-04
Last Update Date 2019-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered RD961602 CA Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3000 Q St, Sacramento, CA 958167058 4086558845

Office Location

Street Address 3100 DOUGLAS BLVD
City ROSEVILLE
State CA
Zip Code 95661-3866

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821090945 Craig C Corp Pediatrics 3100 Douglas Blvd, Roseville, CA 95661-3866 2005-06-01
1568007441 Bei Bei Lee Physician Assistant 3100 Douglas Blvd, Roseville, CA 95661-3866 2019-11-14
1023661501 Jenina Segale Dietitian, Registered 3100 Douglas Blvd, Roseville, CA 95661-3866 2019-07-23
1063987675 Gina M Whiteley I Dietitian, Registered 3100 Douglas Blvd, Roseville, CA 95661-3866 2018-10-10
1104358571 Kenny Bains Family Medicine 3100 Douglas Blvd, Roseville, CA 95661-3866 2017-04-03
1104363449 Patricia Marie Dixson Nurse Practitioner 3100 Douglas Blvd, Suite 325, Roseville, CA 95661-3866 2017-01-25
1063874196 Rupinder Tumber Dietitian, Registered 3100 Douglas Blvd, Roseville, CA 95661-3866 2016-03-28
1184089260 Cristin Mater Registered Nurse 3100 Douglas Blvd, Roseville, CA 95661 2015-12-16
1699141705 Tandis Bishop Dietitian, Registered 3100 Douglas Blvd, Roseville, CA 95661-3866 2015-08-12
1902285729 Kanta Dhanda Family Medicine 3100 Douglas Blvd, Roseville, CA 95661 2015-05-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134777816 Aprildawn Mccarty Mccarty Behavior Technician 2125 Professional Dr, 100, Roseville, CA 95661 2019-08-27
1407409089 David Armel Gomez Croddy Dentist 2740 Carradale Drive, Roseville, CA 95661 2019-07-22
1699335612 Mowell Durable Medical Equipment & Medical Supplies 901 Sunrise, Roseville, CA 95661 2019-06-20
1578024998 Mystesia Lasan Hayes Behavior Technician 4121 Vittorio Dr., Roseville, CA 95661 2019-03-28
1033676457 The Place Within Counselor 720 Sunrise Ave #d115, Roseville, CO 95661 2019-02-21
1396217733 Tuyen Thi Thanh Nguyen Respiratory Therapist, Registered Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 2018-12-26
1982179776 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 1565 Eureka Road, Suite 5, Roseville, CA 95661 2018-10-08
1184106536 Sabita Kondle Marriage & Family Therapist 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 2018-09-02
1740787837 Sylvia A Atieno Nurse Practitioner Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 2018-04-06
1457875296 Good Works Psychophysiology and Physical Therapy Physical Therapist 1650 Leadhill Blvd, 600, Roseville, CA 95661 2017-08-02
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689289241 Alexis Mae Guttormson Dietitian, Registered 1057 Grandview Ave W, Roseville, MN 55113-4438 2020-09-10
1518593136 Sarah Studley Dietitian, Registered 1410 Terrace Dr Apt 206, Roseville, MN 55113-1771 2020-03-15
1225586001 Lori Post Dietitian, Registered 1769 Lexington Ave N # 286, Roseville, MN 55113-6522 2016-09-21
1194194415 Erin Skinner Dietitian, Registered 1 Adventist Health Way, Roseville, CA 95661-3266 2015-09-16
1295101749 Jennifer Hirsch Dietitian, Registered 402 Zamzow Ct, Roseville, CA 95747-6894 2015-08-19
1457743700 Josie Turner Dietitian, Registered 31851 Gratiot Ave, Roseville, MI 48066-4527 2015-02-24
1548650674 Kate Munson Dietitian, Registered 1751 County Road B W, 300, Roseville, MN 55113-4081 2015-01-27
1972853646 Megan Elissa Wollenberg Dietitian, Registered 1675 Vernon St Unit 40, Roseville, CA 95678-3967 2012-09-10
1356563142 Kimberly Caudill Dietitian, Registered 970 Reserve Dr Ste 100, Roseville, CA 95678-1377 2007-05-03
1760443303 Christine M Woodward Dietitian, Registered 1650 Lead Hill Blvd., Roseville, CA 95661 2006-03-31
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 95661

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Dataset Information

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.

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