MRS. SHARON KATHLEEN ETHEREDGE RD CDE NPI 1043421332

NPI Information

NPI: 1043421332
Provider Name: MRS. SHARON KATHLEEN ETHEREDGE, RD CDE
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
505 E PLAZA DRIVE
CHW MARIAN MEDICAL CENTER
SANTA MARIA, CA
ZIP 93454
Phone: (805) 739-3791
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MRS. Sharon Kathleen Etheredge, RD CDE is a nutrition and metabolic dietitian registered in Santa Maria, CA. MRS. Sharon Kathleen Etheredge, RD CDE NPI is 1043421332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 E PLAZA DRIVE
CHW MARIAN MEDICAL CENTER
SANTA MARIA, CA
ZIP 93454
Phone: (805) 739-3791
Fax: (805) 614-2011

The enumeration date for this NPI number is 5/25/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	817145	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WNT 817145A	MEDICARE UPIN
2	M050107	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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