STEPHANIE P BERGEN (NPI# 1518570118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518570118 |
| Entity Type | Individual |
| Full Name | STEPHANIE P BERGEN |
| Credential | MS RD CD |
| Practice Address |
1132 E Bryan Ave Apt A Salt Lake City UT 84105-2508 |
| Practice Telephone | 8023100068 |
| Mailing Telephone | 8023100068 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
1132 E BRYAN AVE APT A |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| 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 |
|---|---|---|---|---|
| 1295342426 | Claire Pomorski | Dietitian, Registered | 996 S 200 E Apt 108, Salt Lake City, UT 84111-4253 | 2020-10-01 |
| 1023626199 | Amelia Pape | Dietitian, Registered | 2079 S 1200 E Unit 210, Salt Lake City, UT 84105-3582 | 2020-07-15 |
| 1669099024 | Rachel Elizabeth Hoobler | Dietitian, Registered | 718 E Emerson Ave, Salt Lake City, UT 84105-2217 | 2020-07-01 |
| 1780204511 | Joan Kathleen Ryan | Dietitian, Registered | 5370 E Pioneer Fork Rd, Salt Lake City, UT 84108-1679 | 2020-04-22 |
| 1104460567 | Patricia Maxine Guenther | Dietitian, Registered | 16 E Churchill Dr, Salt Lake City, UT 84103-2266 | 2019-10-29 |
| 1497230734 | Theresa E Dvorak | Dietitian, Registered | 3334 E Fortuna Dr, Salt Lake City, UT 84124-5616 | 2018-10-02 |
| 1578043816 | Alexander James Barker Smith | Dietitian, Registered | 263 L St, Salt Lake City, UT 84103-3541 | 2018-08-16 |
| 1861970337 | Mylena Avalos Dominguez | Dietitian, Registered | 295 S Chipeta Way Ste 248, Salt Lake City, UT 84108-1287 | 2018-08-06 |
| 1073029245 | Lindsey Marie Imber | Dietitian, Registered | 500 Foothill Dr Bldg 5, Salt Lake City, UT 84148-5101 | 2017-12-23 |
| 1528573706 | Emilee Gilbert | Dietitian, Registered | 2060 E Harvest Park Ct Apt 10, Salt Lake City, UT 84121-6858 | 2017-12-09 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
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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.