Natalie Kay Granucci, RD | |
1575 Spinnaker Dr Ste 205a, Ventura, CA 93001-4369 | |
(805) 585-7852 | |
Not Available |
Full Name | Natalie Kay Granucci |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1575 Spinnaker Dr Ste 205a, Ventura, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417585118 | NPI | - | NPPES |
86070883 | Other | CA | CDR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Bamboo Nutrition Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164917282 PECOS PAC ID: 4789014986 Enrollment ID: O20200429002902 |
Mailing Address | Practice Location Address |
---|---|
Natalie Kay Granucci, RD 1575 Spinnaker Dr Ste 205a, Ventura, CA 93001-4369 Ph: (805) 585-7852 | Natalie Kay Granucci, RD 1575 Spinnaker Dr Ste 205a, Ventura, CA 93001-4369 Ph: (805) 585-7852 |
Surfside Nutrition, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 13 Stanislaus Ave, Ventura, CA 93004 Phone: 925-699-3002 | |
Hannah Ellen Moore, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2605 Loma Vista Rd, Ventura, CA 93003 Phone: 777-754-4083 | |
Mary Georgiana Kiddle, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5066 Fax: 805-641-1706 | |
Aimee L Hammond, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8752 Denver St, Ventura, CA 93004 Phone: 805-746-3657 | |
Rickie Hauer-beaghler, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3291 Loma Vista Rd, Bldg. 340, Suite 302, Ventura, CA 93003 Phone: 805-652-6255 | |
Sophie Desroches, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5066 Fax: 805-641-1706 | |
Heidi Mcmahan, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5755 Valentine Rd Ste 201, Ventura, CA 93003 Phone: 805-665-3180 Fax: 805-256-6081 |