MR. LAWRENCE CARLYLE HEADLEY


Address: 30972 Meadowbrook Ave, Hayward, CA 94544-7544
Phone: 9546553696

MR. LAWRENCE CARLYLE HEADLEY (NPI# 1952804999) 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) 1952804999
Entity Type Individual
Full Name MR. LAWRENCE CARLYLE HEADLEY
Credential RD
Practice Address 30972 Meadowbrook Ave
Hayward
CA 94544-7544
Practice Telephone 9546553696
Practice Fax Number 5104009095
Mailing Telephone 9546553696
Mailing Fax Number 5104009095
Enumeration Date 2018-03-15
Last Update Date 2018-03-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 707397 IL Dietary & Nutritional Service Providers

Office Location

Street Address 30972 MEADOWBROOK AVE
City HAYWARD
State CA
Zip Code 94544-7544

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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
1710421532 Zalak Trivedi Dietitian, Registered 664 Southland Mall Drive, Hayward Wellness Center, Hayward, CA 94541-6528 2016-12-13
1639712870 Amy Pao Dietitian, Registered 254 Jackson St, Hayward, CA 94544-1907 2019-10-21
1205303260 Jennifer Houser Dietitian, Registered 22331 Mission Blvd, Hayward, CA 94541-3911 2018-10-29
1235500984 Teh-chin Lily Wu Dietitian, Registered 3160 Corporate Pl, Hayward, CA 94545-3916 2015-10-07
1417209388 Elise Marie Peters Dietitian, Registered 27400 Hesperian Blvd, Hayward, CA 94545-4235 2012-10-02
1013278886 Sandra Zeznanski Dietitian, Registered 13380 W Trepania Rd, Hayward, WI 54843-2186 2012-06-07
1801055256 Myla Oquendo Ocampo-wong Dietitian, Registered 22331 Mission Blvd, Hayward, CA 94541-3911 2008-06-02
1942418561 Kay E Searfoss Dietitian, Registered 13380 W Trepania Rd, Hayward, WI 54843-2186 2007-05-18
1295889715 Vivian Hiu-yan Lau Dietitian, Registered 27303 Sleepy Hollow Avenue, Hayward, CA 94545-4203 2007-01-22
1740346485 Deepika S Rao Dietitian, Registered 27400 Hesperian Blvd, Hayward, CA 94545-4235 2006-12-28
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Competitor

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City HAYWARD
Zip Code 94544

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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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