SHANNON ROXANNE LIBBRECHT (NPI# 1952741142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952741142 |
| Entity Type | Individual |
| Full Name | SHANNON ROXANNE LIBBRECHT |
| Other Name | SHANNON ROXANNE SMITH |
| Credential | R.D. |
| Practice Address |
9920 Talbert Ave Fountain Valley CA 92708-5153 |
| Practice Telephone | 7143787033 |
| Practice Fax Number | 7143787075 |
| Mailing Telephone | 7143787033 |
| Mailing Fax Number | 7143787075 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1019446 | CA | Dietary & Nutritional Service Providers |
| Street Address |
9920 TALBERT AVE |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272568 | Son The Tran | Anesthesiology | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2005-08-11 |
| 1073143087 | Tran Chau | Nurse Practitioner | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2020-01-17 |
| 1689236374 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2019-07-02 |
| 1427534304 | Lina Uyen Lam | Nurse Practitioner | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2018-07-13 |
| 1689171159 | Stephanie Tuason Ehret | Registered Nurse | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2018-04-10 |
| 1306384227 | Eliza Warren | Registered Nurse | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2017-02-11 |
| 1598132532 | Michele Tracey Constantine | Registered Nurse | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2015-08-25 |
| 1477951689 | Roxanne Martinez | Nurse Practitioner | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2014-12-22 |
| 1114337144 | Mody Anesthesiology Corporation | Anesthesiology | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2014-04-29 |
| 1447681309 | Ocm Anesthesia | Anesthesiology | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-12-03 |
| 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 |
| 1932727245 | Jessica Wilson | Dietitian, Registered | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2020-07-13 |
| 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 |
| 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.