MS. ELLEN MARIE ALONSO STREET


Address: 1450 Guerneville Rd, Santa Rosa, CA 95403-4107
Phone: 7075656590

MS. ELLEN MARIE ALONSO STREET (NPI# 1760099097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760099097
Entity Type Individual
Full Name MS. ELLEN MARIE ALONSO STREET
Other Name MS. ELLEN MARIE STREET
Credential MS, R.D.
Practice Address 1450 Guerneville Rd
Santa Rosa
CA 95403-4107
Mailing Address 2152 Nyla Pl
Santa Rosa
CA 95401-4106
Practice Telephone 7075656590
Mailing Telephone 7074959325
Enumeration Date 2020-09-30
Last Update Date 2020-09-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86176658 CA Dietary & Nutritional Service Providers

Office Location

Street Address 1450 GUERNEVILLE RD
City SANTA ROSA
State CA
Zip Code 95403-4107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518307396 Aileen Mayte Rodriguez Dietitian, Registered 1450 Guerneville Rd, Santa Rosa, CA 95403-4107 2013-06-26

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NPI Name Taxonomy Address Enumeration
1912549841 Abundance Acupuncture Healing Clinic Acupuncturist 3410 Mendocino Avenue, Santa Rosa, CA 95403 2019-10-11
1982161337 Crystal J Ward Registered Nurse 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 2019-02-21
1033674379 George Edward Griese Respiratory Therapist, Registered 501 Bicentennial Way, Santa Rosa, CA 95403 2019-01-31
1508320672 East-west Natural Medicine Inc. Acupuncturist 2200 Range Ave #207, Santa Rosa, CA 95403 2019-01-23
1316410640 Lionel C Cooper Counselor 315 Mark West Springs Road, Santa Rosa, CA 95403 2019-01-09
1326519182 Jkb Solutions Inc. In Home Supportive Care 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 2018-12-05
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1447746524 Lisa Jean Quang Optometrist 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 2018-07-02
1598253353 Jennifer Renee Lummus Community Health Worker 3614 Condo Court, Santa Rosa, CA 95403 2018-04-27
1871042366 Sadie Thuet Marriage & Family Therapist 3434 A Mendocino Ave, Santa Rosa, CA 95403 2016-09-26
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164031746 Guadalupe Orihuela Dietitian, Registered 3230 Hoen Ave, Santa Rosa, CA 95405-7527 2020-07-29
1871991109 Diane Zepaltas Dietitian, Registered 365b Tesconi Cir, Santa Rosa, CA 95401-4617 2014-12-19
1962826438 Alida Peterson Dietitian, Registered 5785 Saint Helena Rd, Santa Rosa, CA 95404-9690 2014-02-04
1518307396 Aileen Mayte Rodriguez Dietitian, Registered 1450 Guerneville Rd, Santa Rosa, CA 95403-4107 2013-06-26
1033463260 Mary Mcdonell Dietitian, Registered 365 Tesconi Cir Ste B, Santa Rosa, CA 95401-4617 2012-11-09
1669729778 Moriah Molling Dietitian, Registered 684 Benicia Dr, Santa Rosa, CA 95409-3058 2012-08-08
1043596562 Cali Kent Dietitian, Registered 3920 Millbrook Dr, Santa Rosa, CA 95404-7613 2011-10-28
1801124433 Joan Elaine Gates Dietitian, Registered 365 Tesconi Cir, Suite B, Santa Rosa, CA 95401-4617 2009-11-19
1518182211 Andy Skrypka Dietitian, Registered 365 Tesconi Circle, Suite B, Santa Rosa, CA 95401 2007-04-16
1851422539 Judith A Hoaglund Dietitian, Registered 365 Tesconi Cir # B, Santa Rosa, CA 95401-4617 2007-03-07
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Competitor

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City SANTA ROSA
Zip Code 95403

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Dataset Information

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.

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