VICKY V BOURDANIOTIS (NPI# 1417237298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417237298 |
| Entity Type | Individual |
| Full Name | VICKY V BOURDANIOTIS |
| Credential | RD |
| Practice Address |
3100 Douglas Blvd Roseville CA 95661-3866 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 9167748885 |
| Practice Fax Number | 9167748818 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1045819 | CA | Dietary & Nutritional Service Providers |
| Street Address |
3100 DOUGLAS BLVD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3866 |
| 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 |
| 1205341096 | Betsy Hennessy | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2017-12-04 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.