JOANN GRUENER (NPI# 1316353717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316353717 |
| Entity Type | Individual |
| Full Name | JOANN GRUENER |
| Other Name | JOANN GRUENER |
| Credential | MPH, RD |
| Practice Address |
3110 Kerner Blvd San Rafael CA 94901-5411 |
| Mailing Address |
1845 Center Rd Novato CA 94947-2976 |
| Practice Telephone | 4154481500 |
| Mailing Telephone | 2093249419 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 132700000X | Dietary Manager | 1008814 | CA | Dietary & Nutritional Service Providers |
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
1008814 | CA | Dietary & Nutritional Service Providers |
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
1008814 | CA | Dietary & Nutritional Service Providers |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
1008814 | CA | Dietary & Nutritional Service Providers |
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
1008814 | CA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1008814 | 05 |
| Street Address |
3110 KERNER BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124132394 | Peter Allen Novota | Family Medicine | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2006-08-18 |
| 1457986762 | Erick Estrada | Dental Hygienist | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2020-03-06 |
| 1003454489 | Emmeline Lui | Dental Hygienist | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2019-12-16 |
| 1356804827 | Casey William Holden | Nurse Practitioner | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2019-04-10 |
| 1952844946 | Audrey Maureen Combs | Nurse Practitioner | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2016-11-23 |
| 1457893190 | Dena Ito | Acupuncturist | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2016-11-11 |
| 1891161113 | Radka Varimezova Temnitzer | Dentist | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2015-08-20 |
| 1508108820 | Anita Sree Kris | Dentist | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2013-03-25 |
| 1134417850 | Neda Meshkin | Dentist | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2011-07-14 |
| 1922303437 | Marin Community Clinic | Clinic/Center | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2011-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152270 | Nicole Freche | Dietitian, Registered | 210 S Palisade Dr Ste 200, Santa Maria, CA 93454-8900 | 2020-10-22 |
| 1861053134 | Diana C Andrew | Dietitian, Registered | 765 N Main St Ste 130, Corona, CA 92880-1440 | 2019-06-26 |
| 1245712272 | Monica M Lowe and Associates, LLC | Dietitian, Registered | 530 W Ojai Ave Ste 204, Ojai, CA 93023-2472 | 2018-09-06 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1457873465 | Carol Faye Kane | Dietitian, Registered | 2936 Robinson Creek Ln, Elk Grove, CA 95758-3620 | 2017-07-11 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1700320439 | Julie Feldman | Dietitian, Registered | 2824 May Ave, Redondo Beach, CA 90278-1533 | 2016-12-14 |
| 1588011274 | Wisdom Foods Inc | Dietitian, Registered | 16987 Algonquin Street Suite L, Huntington Beach, CA 92649 | 2016-05-23 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1689029878 | Andrew Woodward | Dietitian, Registered | 8455 Lodgepole Ln, Riverside, CA 92508-7105 | 2016-04-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on JOANN GRUENER.
| 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.