Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Imogene Azalea Thayer, RD

Individual provider Registered Dietitian · NPI 1730963992

Mrs. Imogene Azalea Thayer, RD is a Registered Dietitian in Oceanside, California. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

5625 Old Ranch Rd
Oceanside, CA 92057-5615
Phone: (707) 672-9896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86173484 (CO)

Record details

NPI number1730963992
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

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