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MARY MICHELLE VANFOSSAN RD
NPI 1063714517
Dietitian, Registered in Jackson, CA

Active since December 03, 2010
200 MISSION BLVD, JACKSON, CA 95642(209) 257-7635 Get Directions Write a Review

NPPES record last updated: December 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Michelle Vanfossan Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MICHELLE VANFOSSAN RD (NPI 1063714517) is an individual dietitian, registered in Jackson, California and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1063714517
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY MICHELLE VANFOSSANCredential: RD
Location Address200 MISSION BLVDJackson, CA 95642-2564
Mailing Address200 Mission BlvdJackson, CA 95642-2564 · (209) 257-7635
Phone(209) 257-7635
Sole ProprietorYes
Enumeration DateDecember 3, 2010
✔ NPI 1063714517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
200 MISSION BLVD, Jackson, CA 95642
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA LEE PROVERBS PA-C
Physician Assistant
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
MOTHER LODE DIAGNOSTIC IMAGING INC
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-0949
HASHIM RAHIM CHAUDHRY DO
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
LATHA SUNIL KUMAR M.D
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
SEAN KELLEY M.D.
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
AMADOR ANESTHESIA MEDICAL GROUP, INC.
Anesthesiology
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
SOUND INPATIENT PHYSICIANS MEDICAL GROUP
Hospitalist
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
DR. BAXTER KEY RICHARDSON IV MD
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Vanfossan's NPI number?

The NPI number for Mary Vanfossan is 1063714517. It was assigned to this individual provider in the NPPES registry on December 3, 2010.

Where is Mary Vanfossan located?

Mary Vanfossan practices at 200 Mission Blvd, Jackson, CA 95642. The listed phone number is (209) 257-7635.

What is Mary Vanfossan's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Mary Vanfossan was last updated on December 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.