KATHRYN J WAHL (NPI# 1861759433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861759433 |
| Entity Type | Individual |
| Full Name | KATHRYN J WAHL |
| Credential | RD |
| Practice Address |
30 Las Colinas Ln San Jose CA 95119-1212 |
| Practice Telephone | 4082842812 |
| Practice Fax Number | 4082842812 |
| Mailing Telephone | 4082842812 |
| Mailing Fax Number | 4082842812 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 666997 | CA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770521049 | Kathryn Bertolino Wahl | Nurse Anesthetist, Certified Registered | 9100 Babcock Blvd, Pittsburgh, PA 15237-5815 | 2006-06-02 |
| Street Address |
30 LAS COLINAS LN |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669797759 | Homestart | Clinic/Center | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2010-03-31 |
| 1104379627 | Janet Park | Speech-Language Pathologist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2016-08-02 |
| 1891163754 | Morgan Le | Speech-Language Pathologist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2015-09-09 |
| 1023323177 | Jerilyn Smith | Occupational Therapist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2010-08-13 |
| 1447576897 | Alison Hewitt George | Occupational Therapist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2010-04-09 |
| 1689990103 | Jennifer Lurayne Smith | Occupational Therapist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2010-04-08 |
| 1073838744 | Madhuri Jagadeesh | Physical Therapist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2010-04-06 |
| 1922323757 | Janis Bakich Stumhoffer | Physical Therapist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2010-04-05 |
| 1033434055 | Amy Nabuko Funge | Physical Therapist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2010-04-01 |
| 1316262405 | Jean C Church | Physical Therapist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2010-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957056 | Jingze Tian | Dietitian, Registered | 200 Jose Figueres Ave Ste 325, San Jose, CA 95116-1592 | 2020-06-18 |
| 1265055370 | Zero Infinity, Inc | Dietitian, Registered | 1835 Camino Leonor, San Jose, CA 95131-1781 | 2020-05-22 |
| 1881215549 | Allen Twu | Dietitian, Registered | 3195 Mabury Rd, San Jose, CA 95127-1020 | 2020-05-04 |
| 1114570876 | Katherine Berger | Dietitian, Registered | 791 Delaware Ave Apt 2, San Jose, CA 95123-5425 | 2019-07-22 |
| 1982164786 | Elizabeth Ann Ruvalcaba | Dietitian, Registered | 3110 Rubino Dr Apt 210, San Jose, CA 95125-6375 | 2019-03-20 |
| 1801353693 | Mary B Hall | Dietitian, Registered | 507 Brooks Ave, San Jose, CA 95125-1620 | 2019-02-27 |
| 1215406327 | Angela Hays | Dietitian, Registered | 1843 Comstock Ln, San Jose, CA 95124-1707 | 2018-11-19 |
| 1851871073 | Ruben Jordan Vargas IIi | Dietitian, Registered | 602 E Santa Clara St Ste 130, San Jose, CA 95112-1910 | 2018-08-16 |
| 1073009502 | Huong Lien Nguyen | Dietitian, Registered | 1023 Bellingham Dr, San Jose, CA 95121-2311 | 2018-07-09 |
| 1356847156 | Tugba Bayrak | Dietitian, Registered | 489 Waskow Dr, San Jose, CA 95123-4956 | 2018-04-02 |
| Find all providers in SAN JOSE | ||||
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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.