location
search-icon
person
Mrs. Alice Thipphavong, MS,RD
Renal Nutrition Registered Dietitian in San Jose, California
NPI 1275982837

Alice Thipphavong is a Renal Nutrition Registered Dietitian based in San Jose, CA and is specialized in Nutrition, Renal. Alice Thipphavong practices in San Jose, CA and has the professional credentials of MS,RD. The NPI Number for Alice Thipphavong is 1275982837 and holds a License No. R519736 (California).

The current practice location address for Alice Thipphavong is 1290 Tully Rd Ste 60, San Jose, CA and can be reached out via phone at 408-275-0105 and via fax at 408-275-0115. You can also correspond with Alice Thipphavong through the mailing address at 1131 SABAL CT, SAN JOSE, CA - 95132-2866 (mailing address contact number: 408-729-1247).

Location: 1290 Tully Rd Ste 60, San Jose, CA, 95132-2866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275982837
Provider Name
Alice Thipphavong
Credential
MS,RD
Provider Entity Type
Individual
Gender
Female
Address
1290 Tully Rd Ste 60, San Jose, CA, 95132-2866
Phone Number
408-275-0105
Fax Number
408-275-0115
Provider Enumeration Date
06/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1290 Tully Rd Ste 60
City
San Jose
State
California
Zip
95122-3069
Phone Number
408-275-0105
Fax Number
408-275-0115
person
Provider Business Mailing Address Details
Address
1131 Sabal Ct
City
San Jose
State
California
Zip
95132-2866
Phone Number
408-729-1247
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Renal
Taxonomy
133VN1005X
License No.
R519736 (Illinois)
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.