MS. CASEY KETTERING


Address: 2081 Center St, Berkeley, CA 94704-1204
Phone: 8472754966

MS. CASEY KETTERING (NPI# 1396374419) 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) 1396374419
Entity Type Individual
Full Name MS. CASEY KETTERING
Credential RD
Practice Address 2081 Center St
Berkeley
CA 94704-1204
Practice Telephone 8472754966
Mailing Telephone 8472754966
Enumeration Date 2020-04-02
Last Update Date 2020-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86068041 IL Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3477 Paxton Ave, Oakland, CA 946013228 8472754966

Office Location

Street Address 2081 CENTER ST
City BERKELEY
State CA
Zip Code 94704-1204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821698887 Ka Yin Emma Liu Counselor 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 2020-10-29
1821617168 Michelle Nagal Hunt Behavior Technician 2080 Addison Street, #302, Berkeley, CA 94704 2020-04-15
1366097081 Sabrina Barnett Behavior Technician 2080 Addison St, #302, Berkeley, CA 94704 2019-08-08
1811559735 Bonita House, Inc. Community/Behavioral Health 1909 University Ave, Berkeley, CA 94704 2019-07-01
1376014928 Justin T Cooke Specialist/Technologist 2024 Durant Ave #508, Berkeley, CA 94704 2018-12-07
1972080158 Cecilia Winfield Student in an Organized Health Care Education/Training Program 1918 University Ave., Suite 2b, Berkeley, CA 94704 2018-07-20
1952897332 Jennifer Henry Henry Naturopath 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 2018-07-09
1497267967 Merlenet Michelle Riley Counselor 2640 Martin Luther King, Berkeley, CA 94704 2017-10-24
1265951719 Caitlin Mary Mcdonough Student in an Organized Health Care Education/Training Program 1918 University Avenue, Suite 2b, Berkeley, CA 94704 2017-09-15
1922525120 Patrice Werling Counselor 1918 University Avenue, Suite 2b, Berkeley, CA 94704 2017-08-28
Find all providers in zip 94704

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
1982239687 Alyssa Tennenbaum Gong Dietitian, Registered 2634 Piedmont Ave, Berkeley, CA 94704-3413 2020-03-03
1063929719 Angelica Gayatri Saldivar Dietitian, Registered 2423 Prospect St, Berkeley, CA 94704-2551 2018-01-03
1558804708 Tylynn Ludwig Dietitian, Registered 1525 Shattuck Ave Ste G, Berkeley, CA 94709 2016-11-21
1508227380 Yasaman Ansari Dietitian, Registered 2227 Piedmont Ave # 170-k, Berkeley, CA 94720-4162 2016-03-08
1063839629 Tiffany Horne Dietitian, Registered 2952 College Ave Apt 5, Berkeley, CA 94705-2213 2014-03-20
1043655061 Suzanne A Nelson Dietitian, Registered 2227 Piedmont Ave, Simpson Center Rm 170d, Berkeley, CA 94720-2325 2013-05-03
1891068250 Kristen Rasmussen Dietitian, Registered Health Matters Uhs, 2222 Bancroft Way, Berkeley, CA 94720-0001 2012-02-15
1245560754 Dorothea Olga Michalik Dietitian, Registered 3030 Telegraph Ave, Berkeley, CA 94705-2037 2010-01-05
1629252341 Susan Bessler Dietitian, Registered 2428 Prince St, Berkeley, CA 94705-2006 2007-12-18
1811058274 Shari Hollander Dietitian, Registered 2705 Alcatraz Ave, Berkeley, CA 94705 2006-12-12
Find all providers in BERKELEY

Competitor

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City BERKELEY
Zip Code 94704

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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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