JESSICA WILSON (NPI# 1932727245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932727245 |
| Entity Type | Individual |
| Full Name | JESSICA WILSON |
| Credential | RD,CDE |
| Practice Address |
17360 Brookhurst St Fountain Valley CA 92708-3720 |
| Practice Telephone | 7148221334 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1070230 | CA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| Street Address |
17360 BROOKHURST ST |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300261 | Mahmood Mirbagheri | Internal Medicine | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2005-07-19 |
| 1578119798 | Francie Thu Nguyen | Pharmacist | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2019-08-13 |
| 1922654144 | Nina Kang | Pharmacist | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2019-08-13 |
| 1992275093 | Behnaz Babaknia | Physician Assistant | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2018-11-30 |
| 1336670728 | Samiya Hussain | Internal Medicine | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2017-03-27 |
| 1134650922 | Eddie Ly | Internal Medicine | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2017-03-23 |
| 1538600317 | Sarah Dabagh | Pediatrics | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2017-03-14 |
| 1609315134 | Brett Bates | Student in an Organized Health Care Education/Training Program | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2017-02-16 |
| 1861855827 | Michael Kraig Benefiel | Internal Medicine | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2016-03-29 |
| 1528420510 | Ziad Wagih Chaya | Internal Medicine | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| 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 |
|---|---|---|---|---|
| 1548870454 | Allyson Yoshinaga | Dietitian, Registered | 9432 Grackle Ave, Fountain Valley, CA 92708-6548 | 2020-08-05 |
| 1497121636 | Katherine Maryam Haghighi | Dietitian, Registered | 18111 Brookhurst St. Suite 5600, Fountain Valley, CA 92708 | 2015-08-11 |
| 1164466207 | Carol Ann Adams | Dietitian, Registered | 11250 Warner Ave, Fountain Valley, CA 92708-4116 | 2006-06-16 |
| 1952787061 | Leport | Dietitian, Registered | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 | 2015-07-31 |
| 1083022941 | Xuanmai Nguyen | Dietitian, Registered | 17360 Brookhurst St, Attn: Registered Dietitian Department, Fountain Valley, CA 92708-3720 | 2014-07-23 |
| 1841622214 | Sun Hui Kim | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-08-07 |
| 1114368727 | Susan Colette Mills | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-07-11 |
| 1427499284 | Christina Keimach | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-07-09 |
| 1952741142 | Shannon Roxanne Libbrecht | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-07-02 |
| 1346680840 | Takako Shiojima | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-06-28 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.