MS. GAIL PROSSER RD, CDE - NPI 1083775365 - Dietitian, Registered in Santa Rosa, CA

Q: What is Gail Prosser's NPI number?

The NPI number for Gail Prosser is 1083775365. It was assigned to this individual provider in the NPPES registry on December 12, 2006. The provider is also known as Patricia Gail Prosser Rd, Cde.

Q: What is Gail Prosser's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Q: When was this NPI record last updated?

The NPPES record for Gail Prosser was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Gail Prosser Rd, Cde NPPES

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

MS. GAIL PROSSER RD, CDE (NPI 1083775365) is an individual nutrition, pediatric provider in Santa Rosa, California, licensed in California (017009) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1083775365

Entity TypeIndividualFemale

Primary Taxonomy133VN1004X

Provider Legal NameMS. GAIL PROSSERCredential: RD, CDE

Location Address3925 OLD REDWOOD HWY, DEPT OF PEDIATRICSSanta Rosa, CA 95403-1719

Mailing Address3925 Old Redwood Hwy, Dept Of PediatricsSanta Rosa, CA 95403-1719 · (707) 566-5358 · Fax (707) 566-5292

Phone(707) 566-5358

Fax(707) 566-5292

Sole ProprietorYes

Enumeration DateDecember 12, 2006

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1083775365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers

Taxonomy Code133VN1004X

License✔ Licensed in CA · 017009

Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

3925 OLD REDWOOD HWY, Santa Rosa, CA 95403

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Other Names 1

Former Name (1)Patricia Gail Prosser Rd, Cde

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.

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