JILL ANNE TANAKA (NPI# 1598959801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598959801 |
Entity Type | Individual |
Full Name | JILL ANNE TANAKA |
Credential | REGISTERED DIETICIAN |
Practice Address |
4607 Manchaca Rd Austin TX 78745-1607 |
Practice Telephone | 5129161511 |
Mailing Telephone | 5129161511 |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | DT80417 | TX | Dietary & Nutritional Service Providers |
Street Address |
4607 MANCHACA RD |
City | AUSTIN |
State | TX |
Zip Code | 78745-1607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033233473 | Patricia Coogan | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2007-03-19 |
1821632589 | Mary Shirley | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-11-05 |
1801438338 | Denise Klein | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-10-16 |
1881240695 | Mariel Phillips | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-08-16 |
1467008268 | Anna Hayden-moy | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-08-16 |
1861059990 | Janette Rodriguez | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-05-23 |
1861958415 | Lauren Mcmullan | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-02-19 |
1841763117 | Ryan Heneisen | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-01-09 |
1932671195 | Ronni Jupson | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2018-12-27 |
1861963308 | Shan Siddiqui | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2018-12-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
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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 |
---|---|---|---|---|
1912507971 | Wendy Snowden | Dietitian, Registered | 11223 Kingsgate Dr, Austin, TX 78748-3435 | 2020-10-29 |
1104423797 | Mariam Maaz Eid | Dietitian, Registered | 8421 Etienne Cv, Austin, TX 78759-8201 | 2020-10-06 |
1518564467 | Elizabeth Hill | Dietitian, Registered | 6500 Champion Grandview Way Apt 22105, Austin, TX 78750-8388 | 2020-10-05 |
1891302006 | Allison Marie Mcnulty | Dietitian, Registered | 2823 E Mlk Jr Blvd Apt 2329, Austin, TX 78702-0038 | 2020-09-30 |
1972110856 | Kristen Whittington | Dietitian, Registered | 3715 S 1st St Apt 272, Austin, TX 78704-0103 | 2020-09-25 |
1982218897 | Clara Di Vincenzo | Dietitian, Registered | 1601 Trinity St Stop A, Austin, TX 78712-1766 | 2020-09-08 |
1609492636 | Sarah Jane Doerffler | Dietitian, Registered | 13201 Legendary Dr Apt 6202, Austin, TX 78727-4035 | 2020-06-25 |
1982227021 | Adee Levinstein | Dietitian, Registered | 11328 Church Canyon Dr, Austin, TX 78754-5900 | 2020-05-23 |
1770106940 | Julia Todd | Dietitian, Registered | 1801 E 51st St Bldg G, Austin, TX 78723-3434 | 2020-05-22 |
1700414885 | Kelli Jo Webb | Dietitian, Registered | 911 W 38th St Ste 201, Austin, TX 78705-1107 | 2020-04-01 |
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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.