Antonia Gennock, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1091076 Issued in CA

Practice address

2811 W California Ave
Fresno, CA 93706-2306

Phone

(559) 493-4544

NPI assigned

Aug 17, 2017

Last updated

Aug 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Department of Veterans Affairs of the State of CaliforniaGroup PAC ID 6507099520, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Department of Veterans Affairs of the State of California

  dba Veterans Home of California - Redding

  • Skilled Nursing Facility
  • Redding, CA
  • NPI 1396165353
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1255857678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E SALEM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W CALIFORNIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062306",
            "telephone_number": "559-493-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNOCK",
        "first_name": "ANTONIA",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1091076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Family Center
• Genesis Family Center
• Genesis Family Center
• Genesis Substance Abuse Services
• Genesis Substance Abuse Services
• Erin Gennuso
• Genoa Healthcare LLC
• Genova Genetics Lab LLC
• Chrissi Genseal, NP
• Leann Gent

• Registered Dietitian in Fresno, CA
• Providers in Fresno, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.