MARY LORETTA DAVILA R.D. IBCLC - NPI 1417309170 - Dietitian, Registered in Redwood City, CA

Q: What is Mary Loretta Davila's NPI number?

The NPI number for Mary Loretta Davila is 1417309170. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Q: What is Mary Loretta Davila's specialty?

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

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About Mary Loretta Davila R.d. Ibclc NPPES

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

MARY LORETTA DAVILA R.D. IBCLC (NPI 1417309170) is an individual dietitian, registered in Redwood City, California, licensed in California (853097) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1417309170

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMARY LORETTA DAVILACredential: R.D. IBCLC

Location Address2710 MIDDLEFIELD RDRedwood City, CA 94063-3404

Mailing Address2710 Middlefield RdRedwood City, CA 94063-3404 · (650) 578-7141 · Fax (650) 298-6881

Phone(650) 578-7141

Fax(650) 298-6881

Sole ProprietorNo

Enumeration DateJuly 6, 2016

✔ NPI 1417309170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in CA · 853097

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.

Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-19656

2710 MIDDLEFIELD RD, Redwood City, CA 94063

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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.

DR. ALISON LAURA PACHYNSKI MD MPH

Internal Medicine