AUTUMN BEAM (NPI# 1780295089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780295089 |
| Entity Type | Individual |
| Full Name | AUTUMN BEAM |
| Credential | MS, ACN |
| Practice Address |
1437 N Los Robles Ave Pasadena CA 91104-2140 |
| Practice Telephone | 6266649719 |
| Mailing Telephone | 6266649719 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
1437 N LOS ROBLES AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932461902 | Drmichaels Wellness Center | Nutritionist | 424 N Lake Ave Ste 102, Pasadena, CA 91101-1202 | 2012-06-14 |
| 1881822070 | Yolanda Ubinas-gonzalez | Nutritionist | 6243 Fairmont Pkwy Ste 104, Pasadena, TX 77505-4046 | 2009-06-25 |
| 1861924243 | Veronica Carmona | Nutritionist | 1855 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404155 | Victoria Zhukova Shemer | Nutritionist | 39 Calypso, Irvine, CA 92618-1519 | 2020-10-10 |
| 1306444658 | Califia Suntree | Nutritionist | 3812 Jo Ann Dr, Sacramento, CA 95821-3819 | 2020-10-09 |
| 1538772520 | Alicia Manley | Nutritionist | 198 Berk Pl, Richmond, CA 94804-4219 | 2020-08-28 |
| 1689292815 | Jodi Ann Sutherland | Nutritionist | 54910, Pine Crest Avenue, Idyllwild, CA 92549-9254 | 2020-07-14 |
| 1407471410 | Joyce Peters | Nutritionist | 9465 Wilshire Blvd Ste 300, Beverly Hills, CA 90212-2624 | 2020-06-15 |
| 1114542883 | Kim Evans | Nutritionist | 101 Gregory Ln Ste 25, Pleasant Hill, CA 94523-4915 | 2020-06-09 |
| 1013539717 | Susan Astrid Blanc | Nutritionist | 2303 Camino Ramon # 208, San Ramon, CA 94583-1392 | 2020-05-15 |
| 1245869445 | Janel Anderson | Nutritionist | 10865 Whitehorse Rd # 5, Truckee, CA 96161-1428 | 2020-04-08 |
| 1154958130 | Lonnele Ball | Nutritionist | 69 Northampton Ave, Berkeley, CA 94707-1714 | 2020-03-26 |
| 1912530957 | Lillian Marie Franke | Nutritionist | 3340 Oakwood Pl, Redding, CA 96001-2346 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
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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.