MS. JENNIFER BRADLEY HARWARD


Address: 60 Mdg/sgqd, 101 Bodin Circle, Travis Afb, CA 94535-1800
Phone: 9372579070

MS. JENNIFER BRADLEY HARWARD (NPI# 1881683043) 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) 1881683043
Entity Type Individual
Full Name MS. JENNIFER BRADLEY HARWARD
Credential RD
Practice Address 60 Mdg/sgqd
101 Bodin Circle
Travis Afb
CA 94535-1800
Practice Telephone 9372579070
Enumeration Date 2005-10-19
Last Update Date 2019-08-01
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CDR 876373 01

Office Location

Street Address 60 MDG/SGQD
101 BODIN CIRCLE
City TRAVIS AFB
State CA
Zip Code 94535-1800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265628390 Craig Saewong Dietitian, Registered 60 Mdg/sgqd, 101 Bodin Cir, Travis Afb, CA 94535-1800 2007-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487711 Sheila C Flood Student in an Organized Health Care Education/Training Program 101 Biden Circle, Fairfield, CA 94535 2020-04-28
1568081255 Miguel Julian Moreno Student in an Organized Health Care Education/Training Program 690 Airmen Drive, Travis Afb, CA 94535 2020-04-13
1174096101 Zlatoslava Karga Nurse Practitioner 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 2019-01-02
1437648292 Luke C Vera Dentist David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 2018-05-08
1588163430 Sanaz Ziad Pharmacist 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 2018-02-06
1194265686 Geoffrey Johnston Dentist 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 2017-03-02
1336693407 Hannah Isla Nordwall Social Worker 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 2016-08-06
1184177149 Taylor Murrie-robinson Social Worker 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 2016-07-26
1952759607 Eric Kincaid-sharp General Practice 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 2016-06-02
1023472040 Genieve Marie Martinez-hernandez Internal Medicine 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 2016-04-06
Find all providers in zip 94535

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
1861747586 Sarah Celeste Fitch Dietitian, Registered 101 Bodin Circle 60 Mdg, Travis Afb, CA 94535-1800 2012-07-18
1720154701 Heidi Lynn Clark Dietitian, Registered 60 Mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535-1809 2006-11-28
1356370068 Linda Louise Cowling Dietitian, Registered 60 Mdts/sgqd, 101 Bodin Circle, Travis Afb, CA 94535-1800 2006-07-03
1093765257 Lisa M Kovalek Dietitian, Registered 105 Bodin Cir, Travis Afb, CA 94535-1801 2006-05-10
1548820020 Amanda Leal Diaz Dietitian, Registered 101 Bodin Cir, Travis Afb, CA 94535-1809 2019-06-18
1497253793 Christi Triche Dietitian, Registered 101 Bodin Cir, Travis Afb, CA 94535-1809 2018-02-01
1669829370 Mckinzie Alston Dietitian, Registered 101 Bodin Cir, Travis Afb, CA 94535-1809 2016-05-23
1356741755 Linderpal Kaur Dhillon Dietitian, Registered 101 Bodin Cir, Travis Afb, CA 94535-1809 2014-09-04
1477730240 Sara Elizabeth Koepke Dietitian, Registered 101 Bodin Circle, Travis Afb, CA 94535 2008-01-23
1265628390 Craig Saewong Dietitian, Registered 60 Mdg/sgqd, 101 Bodin Cir, Travis Afb, CA 94535-1800 2007-09-21
Find all providers in TRAVIS AFB

Competitor

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City TRAVIS AFB
Zip Code 94535

Improve Information

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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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