Active NPI
Emma Stuart
- Registered Dietitian
- Ukiah, CA
National Provider Identifier
1033831896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86276479
- Practice address
- 1050 N State St
Ukiah, CA 95482-3414 - Phone
- (707) 463-7427
- NPI assigned
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86276479 | CA | Primary |
Addresses
Primary practice location
1050 N State St
Ukiah, CA 95482-3414
Mailing address
165 Gibson St
Ukiah, CA 95482-3940
Phone (707) 391-1829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86276479 | Other | CA | COMMISSION ON DIETETIC REGISTRATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86276479 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1033831896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 GIBSON ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823940",
"telephone_number": "707-391-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823414",
"telephone_number": "707-463-7427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86276479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86276479",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.