Ms Jacqueline Anne Thompson, RD, CDE | |
85 Neilson St, Suite 201, Watsonville, CA 95076-2485 | |
(831) 763-6445 | |
(831) 724-0877 |
Full Name | Ms Jacqueline Anne Thompson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 85 Neilson St, Watsonville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497802987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 883567 (California) | Primary |
Provider Name | My Diabetes Tutor Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528601218 PECOS PAC ID: 1850712159 Enrollment ID: O20200521002168 |
Mailing Address | Practice Location Address |
---|---|
Ms Jacqueline Anne Thompson, RD, CDE 3010 Concord Ct, Marina, CA 93933-4003 Ph: (831) 277-6283 | Ms Jacqueline Anne Thompson, RD, CDE 85 Neilson St, Suite 201, Watsonville, CA 95076-2485 Ph: (831) 763-6445 |
Amanda Garza, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 85 Neilson St, Watsonville, CA 95076 Phone: 831-726-4257 | |
Maria Cristina Vega-martinez, R.D., CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 85 Neilson St Ste 201, Watsonville, CA 95076 Phone: 831-763-6445 Fax: 831-724-0877 | |
Anitza Xitlali Romero, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3 Crescent Dr, Watsonville, CA 95076 Phone: 831-840-9119 | |
Ms. Carly Gaffney, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 85 Nielson St, Watsonville, CA 95076 Phone: 831-726-4267 | |
Briana Lee Mancha, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 85 Neilson St, Watsonville, CA 95076 Phone: 831-761-5639 | |
Ms. Danielle Lauren Cook, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 85 Nielson St Ste 201, Watsonville, CA 95076 Phone: 831-763-6445 |