MRS. RENEE MCKENNA (NPI# 1952953093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952953093 |
| Entity Type | Individual |
| Full Name | MRS. RENEE MCKENNA |
| Credential | RDN, CSP, IBCLC |
| Practice Address |
1165 Montgomery Dr Santa Rosa CA 95405-4801 |
| Practice Telephone | 7075255327 |
| Mailing Telephone | 7075255327 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 974191 | CA | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Doyle Park Dr Ste 200, Santa Rosa, CA 954054559 | 7073031719 |
| Street Address |
1165 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149749 | Rudy Y Santos | Internal Medicine | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2005-07-28 |
| 1376144543 | Brandi Marie Peroney | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 2020-11-04 |
| 1366067449 | Susann Mischke | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-06-14 |
| 1750916433 | Cassondra Yvette Hawkins | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-03-03 |
| 1780226001 | Christian Michael Weeber | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-10-09 |
| 1023675303 | Saad Sultan | Pharmacist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-05-22 |
| 1013470640 | Sonoe M Oft | Occupational Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-04-10 |
| 1184181281 | Andrew Sonu Kim | Physical Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-02-25 |
| 1073098000 | Samantha Ashley Stewart | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2018-09-25 |
| 1619404431 | Atoosa Molanazadeh | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1164031746 | Guadalupe Orihuela | Dietitian, Registered | 3230 Hoen Ave, Santa Rosa, CA 95405-7527 | 2020-07-29 |
| 1871991109 | Diane Zepaltas | Dietitian, Registered | 365b Tesconi Cir, Santa Rosa, CA 95401-4617 | 2014-12-19 |
| 1962826438 | Alida Peterson | Dietitian, Registered | 5785 Saint Helena Rd, Santa Rosa, CA 95404-9690 | 2014-02-04 |
| 1518307396 | Aileen Mayte Rodriguez | Dietitian, Registered | 1450 Guerneville Rd, Santa Rosa, CA 95403-4107 | 2013-06-26 |
| 1033463260 | Mary Mcdonell | Dietitian, Registered | 365 Tesconi Cir Ste B, Santa Rosa, CA 95401-4617 | 2012-11-09 |
| 1669729778 | Moriah Molling | Dietitian, Registered | 684 Benicia Dr, Santa Rosa, CA 95409-3058 | 2012-08-08 |
| 1043596562 | Cali Kent | Dietitian, Registered | 3920 Millbrook Dr, Santa Rosa, CA 95404-7613 | 2011-10-28 |
| 1801124433 | Joan Elaine Gates | Dietitian, Registered | 365 Tesconi Cir, Suite B, Santa Rosa, CA 95401-4617 | 2009-11-19 |
| 1518182211 | Andy Skrypka | Dietitian, Registered | 365 Tesconi Circle, Suite B, Santa Rosa, CA 95401 | 2007-04-16 |
| 1851422539 | Judith A Hoaglund | Dietitian, Registered | 365 Tesconi Cir # B, Santa Rosa, CA 95401-4617 | 2007-03-07 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.