Support For Every Step Of The Journey

Having the right people around you during the bariatric process can make a world of difference. From the moment you take the first step, our bariatric care team is ready to support you throughout your entire journey. Our team is filled with experts that can assist you with questions regarding:

  • Diet and nutrition
  • Mental and emotional support
  • Physical activity and recovery
  • Family dynamics after surgery

Scroll through the names below to learn a little more about what makes our care team one of the best in the world.

Registered Dietitians

Patients that undergo bariatric surgery need to grow accustomed to new eating habits and not adhering to a strict diet, especially right after surgery, could be harmful for the patient's health. Our registered dietitians are regularly available to answer your questions regarding diet and nutrition throughout any phase of the journey.

Cheryl Engle
Cheryl Engle, R.D.
Cheryl completed her Bachelor's of Science in Dietetics and Food Administration at Fresno State and her Dietetic Internship through Porterville Developmental Center. She has worked as a Registered Dietitian for the past 30 years and is currently employed with Nutrition Therapy Essentials. Cheryl enjoys working with all our patients and feels privileged to be working with such a dedicated team of professionals.
Kerry Johnson
Kerry Johnson, R.D.
Kerry graduated with a Bachelor’s of Science degree in Food and Nutrition from Fresno State and then completed her dietetic internship at Sutter Hospitals in Sacramento. Kerry has been a clinical dietitian at Fresno Heart & Surgical Hospital since 2003, providing counseling and patient education in the areas of heart health, diabetes and bariatrics. She currently shares time between Fresno Heart and ALSA Medical Group and is involved with pre-operative nutrition classes, bariatric support groups and patient counseling.
David Trask
David Trask, R.D.
David is a Registered Dietitian with 12 years of experience consulting in a wide variety of healthcare settings. In addition to inpatient consulting, he is experienced in providing individualized outpatient nutrition counseling. David is as an avid runner and promotes a varied, primarily whole foods, diet.
Nikki Andres
Nikki Andres, R.D.
Nikki Andres has been a Registered Dietitian Nutritionist with Fresno Heart & Surgical Hospital since January 2017 and a Central Valley consultant since May 2005. She is currently one of the Directors of Operations for Nutrition Therapy Essentials serving acute care, long-term care, congregate healthcare and subacute facilities. She has served on the board of the Central Valley Dietetic Association and Fresno’s Leading Young Professionals (FLYP). Certified in Adult Weight Management, Nikki continues to mentor dietetic interns for the Nutrition Therapy Essentials, Fresno State and Central Valley WIC Dietetic Internships.


Psychological Support

Our bariatric therapist is available to support and guide you through your surgical journey and physical transformation. All patients will meet with our therapist at least once prior to surgery. Our therapist also tends to our ongoing support groups.

Michael Roubicek, Ph.D.
Michael Roubicek, Ph.D.
Clinical Psychology; LCSW (Licensed Clinical Social Worker)
Dr. Roubicek has been a psychotherapist since 1983 and began his involvement with bariatric surgery patients in 1999. He joined the bariatric program in 2008 with the belief that it is important to have a solid understanding of the physical and psychological changes that occur with the surgery process. He is committed to helping patients gain greater understanding of the process and developing a healthier lifestyle that incorporates a well-balanced and consistent approach in managing: nutritional practices, physical activity, sleep routines, interpersonal relationships, spiritual strength and necessary skills to navigate the stresses and demands of daily living.


Certified Bariatric Nurse

We have nurses on staff that have been trained and received certification for working specifically with bariatric patients. Our Certified Bariatrc Nurses (CBN) are available to answer any questions you may have or help guide your care after surgery.


Alice Jackson
Alice Jackson, R.N., C.B.N.
R.N. since 1982
C.B.N. since 2007
Brittany Nan
Brittany Nan, R.N., C.B.N.
R.N. since 2010
C.B.N. since 2017
Carey Niehoff
Carey Niehoff, R.N., B.S.N., C.B.N.
R.N. since 2010
B.S.N. since 2014
C.B.N. since 2015
Danielle Beshwate
Danielle Beshwate, R.N., C.B.N.
R.N. since 2007
C.B.N. since 2010
Jennifer Logan, R.N., C.B.N.
R.N. since 2005
C.B.N. since 2010
Kim Franci
Kim Franci, R.N., C.B.N.
R.N. since 1992
C.B.N. since 2010
Merhawit Gebre
Merhawit Gebre, R.N., C.B.N.
R.N. since 2003
C.B.N. since 2018
Rowena Bugnosen
Rowena Bugnosen, R.N., C.B.N.
R.N. since 1992
C.B.N. since 2011