KELLI PATIN (NPI# 1619425584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619425584 |
| Entity Type | Individual |
| Full Name | KELLI PATIN |
| Credential | RD, CDE |
| Practice Address |
106 La Casa Via Suite 100 Walnut Creek CA 94598-3086 |
| Practice Telephone | 9252392900 |
| Practice Fax Number | 9259322456 |
| Mailing Telephone | 9252392900 |
| Mailing Fax Number | 9259322456 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
1000860 | CA | Dietary & Nutritional Service Providers |
| Street Address |
106 LA CASA VIA SUITE 100 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578599163 | Kristine W Batten | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-06-24 |
| 1922470863 | University Healthcare Alliance | Internal Medicine | 106 La Casa Via, Suite 260, Walnut Creek, CA 94598-3086 | 2015-10-29 |
| 1780073759 | Hk Facial Plastic Surgery, Inc | Otolaryngology | 106 La Casa Via, #200, Walnut Creek, CA 94598-3086 | 2015-01-14 |
| 1447677141 | Erin Walker | Physician Assistant | 106 La Casa Via, Suite 140, Walnut Creek, CA 94598-3086 | 2014-03-20 |
| 1538413117 | Carrie Toni Chan | Nurse Practitioner | 106 La Casa Via, Suite 240, Walnut Creek, CA 94598-3086 | 2012-11-02 |
| 1609176478 | Justin Mark Keyashian | Dentist | 106 La Casa Via, 280, Walnut Creek, CA 94598-3086 | 2010-10-27 |
| 1275799124 | Haena Kim | Otolaryngology | 106 La Casa Via, Suite 200, Walnut Creek, CA 94598-3086 | 2008-07-31 |
| 1386786366 | Wayne R. Walker | Dentist | 106 La Casa Via, Suite 280, Walnut Creek, CA 94598-3086 | 2007-02-13 |
| 1942235411 | Anne M Thibault | Nurse Practitioner | 106 La Casa Via, Suite 100, Walnut Creek, CA 94598-3086 | 2006-07-12 |
| 1013947670 | Mark D Nathan | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881138832 | Johanna Kammerer | Dietitian, Registered | 106 La Casa Via Ste 100, Walnut Creek, CA 94598-3084 | 2016-12-09 |
| 1184172736 | Maryann Christofas | Dietitian, Registered | 106 La Casa Via Ste 100, Walnut Creek, CA 94598-3382 | 2016-09-12 |
| 1154473908 | Marion Lee Armstrong | Dietitian, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454721 | Julia Lynne Matel | Dietitian, Registered | 750 Welch Rd Ste 115, Palo Alto, CA 94304-1508 | 2020-10-09 |
| 1144859216 | Kristen Anne Coleman | Dietitian, Registered | 215 N. Fresno Suite 370, Fresno, CA 93701-9370 | 2020-04-02 |
| 1679107981 | Maryann Tomovich Jacobsen | Dietitian, Registered | 9820 Willow Creek Rd Ste 490, San Diego, CA 92131-1128 | 2020-02-25 |
| 1619450285 | Minerva Valencia | Dietitian, Registered | 9254 Sagewood Ct, Gilroy, CA 95020-8209 | 2018-09-10 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1033630132 | Ellen Mackenzie Mccloy | Dietitian, Registered | 4650 W Sunset Blvd # 40, Los Angeles, CA 90027-6062 | 2017-06-29 |
| 1366962086 | Lucia Eugenia Briceno | Dietitian, Registered | 4650 W Sunset Blvd # 8, Los Angeles, CA 90027-6062 | 2017-06-23 |
| 1912427972 | Esther Berenhaut | Dietitian, Registered | 4650 W Sunset Blvd # Ms 40, Los Angeles, CA 90027-6062 | 2017-06-21 |
| 1134653157 | Hector Diaz Hernandez | Dietitian, Registered | 401 Villa Ave Apt 156, Clovis, CA 93612-0884 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on KELLI PATIN.
| 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.