MS. ANNE REBECCA HETRICK


Address: 508 Manatee Ave. East, Kidney Disease Consultants, Bradenton, FL 34208-1146
Phone: 9417440024

MS. ANNE REBECCA HETRICK (NPI# 1841426350) 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) 1841426350
Entity Type Individual
Full Name MS. ANNE REBECCA HETRICK
Credential RD,LDN
Practice Address 508 Manatee Ave. East
Kidney Disease Consultants
Bradenton
FL 34208-1146
Mailing Address 520 Manatee Ave. East
Southwest Florida Dialysis Center
Bradenton
FL 34208-1146
Practice Telephone 9417440024
Practice Fax Number 9417461048
Mailing Telephone 9417475500
Mailing Fax Number 9417487879
Enumeration Date 2009-06-10
Last Update Date 2009-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
ND266 FL Dietary & Nutritional Service Providers

Office Location

Street Address 508 MANATEE AVE. EAST
KIDNEY DISEASE CONSULTANTS
City BRADENTON
State FL
Zip Code 34208-1146

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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1114545605 Erika Marie Stahl Dietitian, Registered 651 Jamestown Blvd Apt 2116, Altamonte Springs, FL 32714-4683 2020-07-10
1659905016 Erika Cook Dietitian, Registered 7 Sea Oaks Dr, St Augustine, FL 32080-7914 2020-02-25
1669039285 Jennifer Mann Dietitian, Registered 1647 Island Way, Weston, FL 33326 2019-05-20
1306343850 Annmarie Duggan Dietitian, Registered 18004 Nw 6th St Ste 104, Pembroke Pines, FL 33029-2823 2018-04-11
1245500933 Jeanette Poillucci Dietitian, Registered 3700 Nw 88th Ave, 102, Sunrise, FL 33351-6556 2012-01-11
1710297452 Susan Lynn Bottiglieri Dietitian, Registered 6641 Current Dr, Apollo Beach, FL 33572-1544 2010-10-15
1609189059 John Dodd Dietitian, Registered 123 Sandcastle Dr, Ormond Beach, FL 32176-4156 2010-07-14
1548588627 Cesiah Rojas Dietitian, Registered 11809 Sw 103rd Ln, Miami, FL 33186-8541 2010-05-13
1992020705 Susan Marie Meese-morris Dietitian, Registered 333 Nw 70th Ave Ste 107, Plantation, FL 33317-2358 2010-04-05
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Competitor

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City BRADENTON
Zip Code 34208

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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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