THE SIMPLE LEAF, LLC (NPI# 1528667623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528667623 |
| Entity Type | Organization |
| Organization Name | THE SIMPLE LEAF, LLC |
| Practice Address |
4824 Craner Ave Apt 214 North Hollywood CA 91601-5133 |
| Mailing Address |
Po Box 5145 Crestline CA 92325-5145 |
| Practice Telephone | 4242590993 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | BRYNA GAVIN (OWNER) |
| Authorized Official Telephone | 4242590993 |
| Authorized Official Credential | CNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
| Street Address |
4824 CRANER AVE APT 214 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91601-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711825 | Geoffrey Ryan | Counselor | 5002 Tujunga Ave. #303, North Hollywood, CA 91601 | 2017-10-18 |
| 1508305772 | Melody Zara | Acupuncturist | 5257 Vineland Ave., North Hollywood, CA 91601 | 2017-02-21 |
| 1013455500 | Chandler Treatment LLC | Preferred Provider Organization | 5503 Cahuenga Blvd Suite 201, Northhollywood, CA 91601 | 2017-02-06 |
| 1770021230 | Bairat Shasi | Nurse Practitioner | 5251 Vineland Ave Apt 514, North Hollywood, CA 91601 | 2017-02-05 |
| 1194187609 | A&m Miracle Home Health Care, Inc | Home Health | 10545 Burbank Blvd., Suite 127, North Hollywood, CA 91601 | 2016-03-23 |
| 1053771329 | Suzette Galvez | Case Manager/Care Coordinator | 11415 Albers St Apt 4, Noho, CA 91601 | 2016-03-01 |
| 1467835025 | Loyalty Home Health, Inc. | Home Health | 10545 Burbank Blvd Suite 117, North Hollywood, CA 91601 | 2015-07-01 |
| 1689063646 | Jane Edith Wilson | Counselor | 11027 Bubank Blvd, North Hollywood, CA 91601 | 2015-01-14 |
| 1083022206 | Mulberry Leaf Acupuncture & Herbs | Acupuncturist | 5257 Vineland Ave, North Hollywood, CA 91601 | 2014-07-31 |
| 1306256813 | Confidence & Care Hospice, Inc. | Hospice Care, Community Based | 10523 Burbank Blvd Suite 221, North Hiollywood, CA 91601 | 2014-05-06 |
| Find all providers in zip 91601 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972064905 | Lizbeth Diaz | Nutritionist | 5315 Harmony Ave Apt 101, North Hollywood, CA 91601-3381 | 2019-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049191 | Chanti Randolph | Nutritionist | 6677 Santa Monica Blvd Apt 1307, Los Angeles, CA 90038-1392 | 2020-09-24 |
| 1992311120 | Jessica Ellen Black | Nutritionist | 1239 Liberty St Apt 225, El Cerrito, CA 94530-2347 | 2020-09-22 |
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1003425596 | Cassandra Collins | Nutritionist | 2411 Via Mariposa, San Dimas, CA 91773-4421 | 2020-07-30 |
| 1326660432 | Evan Demarco | Nutritionist | 1524 38th St, Sacramento, CA 95816-6712 | 2020-05-12 |
| 1861020620 | Tooba Syed | Nutritionist | 1170 Beethoven Cmn Unit 307, Fremont, CA 94538-5613 | 2020-03-28 |
| 1588299853 | Susannah Johnson | Nutritionist | 539 San Bernardino Ave, Newport Beach, CA 92663-4812 | 2020-03-07 |
| 1740815471 | Mia Rigden | Nutritionist | 807 Navy St, Santa Monica, CA 90405-5638 | 2020-03-03 |
| 1427683184 | Christina S Blankenburg | Nutritionist | 1545 Pine St Apt 907, San Francisco, CA 94109-4684 | 2020-03-03 |
| 1497389787 | Jill Raduziner | Nutritionist | 410 Red Cedar St, Tahoe City, CA 96145 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91601 |
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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.