STACEY BOEK-DOMINGUEZ M.S., R.D. - NPI 1497173157 - Dietitian, Registered in Red Bluff, CA

Q: What is Stacey Boek-dominguez's NPI number?

The NPI number for Stacey Boek-dominguez is 1497173157. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Q: What is Stacey Boek-dominguez's specialty?

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

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About Stacey Boek-dominguez M.s., R.d. NPPES

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

STACEY BOEK-DOMINGUEZ M.S., R.D. (NPI 1497173157) is an individual dietitian, registered in Red Bluff, California, licensed in California (1019706) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1497173157

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTACEY BOEK-DOMINGUEZCredential: M.S., R.D.

Location Address2550 SISTER MARY COLUMBA DRRed Bluff, CA 96080-4327

Mailing Address2550 Sister Mary Columba DrRed Bluff, CA 96080-4327 · (530) 529-8113 · Fax (530) 242-2509

Phone(530) 529-8113

Fax(530) 242-2509

Sole ProprietorNo

Enumeration DateMarch 31, 2014

✔ NPI 1497173157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in CA · 1019706

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.

2550 SISTER MARY COLUMBA DR, Red Bluff, CA 96080

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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.

MR. THOMAS ANTHONY LATA CRNA, ACNP

Nurse Anesthetist, Certified Registered