MS. DETRIA LATASHA BRANCH (NPI# 1790300259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790300259 |
| Entity Type | Individual |
| Full Name | MS. DETRIA LATASHA BRANCH |
| Credential | MS, CTNC, RHNC |
| Practice Address |
10208 Bon Aire Dr El Paso TX 79924-2936 |
| Practice Telephone | 8884744486 |
| Practice Fax Number | 9153019251 |
| Mailing Telephone | 5054170036 |
| Mailing Fax Number | 9153019251 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 261QG0250X |
Clinic/Center Specialization: Genetics |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
10208 BON AIRE DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| 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 |
|---|---|---|---|---|
| 1265537930 | Mary Elizabeth Akers | Nutritionist | 501 Tawny Oaks Pl, El Paso, TX 79912-4213 | 2006-09-14 |
| 1538242557 | Vanessa Stpierre | Nutritionist | 6611 Boeing Dr, El Paso, TX 79925-1010 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339242 | Kathern Barbles | Nutritionist | 827 Tulane St, Houston, TX 77007-1533 | 2020-09-05 |
| 1093326910 | Eugene Bramble | Nutritionist | 1628 Summer City Dr, Houston, TX 77047-3418 | 2020-08-13 |
| 1871101121 | Michael Wayland | Nutritionist | 26026 Haggard Nest Dr, Katy, TX 77494-3983 | 2020-07-22 |
| 1033727854 | Kay Kay Lee Lineweaver | Nutritionist | 1158 Monroe St, Abilene, TX 79601-3152 | 2020-07-17 |
| 1003433434 | Cathy Maria Hernandez | Nutritionist | 1912 Matagorda Dr, Round Rock, TX 78664-4628 | 2020-07-01 |
| 1083230577 | Priscilla Estrada-ortega | Nutritionist | 3225 Mission Ridge Dr, Flower Mound, TX 75022-7862 | 2020-06-19 |
| 1538783386 | Ginger Schirmer | Nutritionist | 3232 Westminster Ave, Dallas, TX 75205-1427 | 2020-06-07 |
| 1003430794 | Darvin Levar Phillips Jr. | Nutritionist | 13423 Blanco Rd Ste 593, San Antonio, TX 78216-2187 | 2020-05-29 |
| 1528680436 | Nichole Mcghie | Nutritionist | 2132 Branard St Apt A, Houston, TX 77098-2406 | 2020-05-13 |
| 1598387870 | Nina Carr | Nutritionist | 9323 Bartlett Fls, San Antonio, TX 78250-3515 | 2020-05-10 |
| 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.