MRS. ANGELA CHRISTINE STORCK-PETERSEN (NPI# 1346623634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346623634 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA CHRISTINE STORCK-PETERSEN |
| Other Name | MS. ANGELA CHRISTINE HARVEL |
| Credential | MPH, RD, LD |
| Practice Address |
11768 Caminito Corriente San Diego CA 92128 |
| Mailing Address |
11768 Caminito Corriente San Diego CA 92128-4548 |
| Practice Telephone | 6268404177 |
| Practice Fax Number | 6267687671 |
| Mailing Telephone | 6268404177 |
| Mailing Fax Number | 6267687671 |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 32903-DI-2 | NV | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 1051996 | CA | Dietary & Nutritional Service Providers |
| Street Address |
11768 CAMINITO CORRIENTE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| 1730595570 | Charity Fluegge | Developmental Therapist | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128 | 2014-07-01 |
| Find all providers in zip 92128 | ||||
| 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 |
|---|---|---|---|---|
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1629685987 | Erin Reeves | Dietitian, Registered | 8701 Lake Athabaska Way, San Diego, CA 92119-2825 | 2020-09-29 |
| 1033721907 | Feeding Your Soul Nutrition, LLC | Dietitian, Registered | 10622 Golden Willow Unit 125, San Diego, CA 92130-4930 | 2020-08-20 |
| 1043821333 | Tammy Manse | Dietitian, Registered | 2166 Pine St, San Diego, CA 92103-1523 | 2020-08-11 |
| 1992315691 | Dawn Michelle Rutherford | Dietitian, Registered | 4320 Viewridge Ave, San Diego, CA 92123-1690 | 2020-08-06 |
| 1821606344 | Andrea Michelle Kent | Dietitian, Registered | 5305 Cass St, San Diego, CA 92109-1207 | 2020-07-21 |
| 1841808003 | Sapna Bhalsod | Dietitian, Registered | 4816 W Mountain View Dr Apt 6, San Diego, CA 92116-1758 | 2020-07-14 |
| 1053937557 | Nicole Gomez | Dietitian, Registered | 4965 Corlita Ct, San Diego, CA 92122-3930 | 2020-06-19 |
| 1992320154 | Sarah Jamila Venters | Dietitian, Registered | 10379 Westward Ct, San Diego, CA 92131-6152 | 2020-06-13 |
| 1366066847 | Kathryn Baker Ward | Dietitian, Registered | 4321 Maryland St, San Diego, CA 92103-2333 | 2020-06-01 |
| 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.