Individual provider Active NPI

Debbie Chinn-Davis, MAS, MS, RD

  • Registered Dietitian
  • Roseville, CA
National Provider Identifier
1043190317
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
3100 Douglas Blvd Ste 204
Roseville, CA 95661-3868
Phone
(916) 774-8885
Fax
(916) 503-6841
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3100 Douglas Blvd Ste 204
Roseville, CA 95661-3868

Mailing address

3100 Douglas Blvd Ste 204
Roseville, CA 95661-3868
Phone (916) 774-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006003296 CA Practitioner - Registered Dietitian Or Nutrition Professional 5597262717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 255228
Sacramento, CA 95865

PO Box
Suite 255228
Sacramento, CA 95865-5228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Single Specialty Current Accepting new patients
Sutter Valley Medical Foundation Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

7 Medical Plaza Dr
Ste 420
Roseville, CA 95661

3100 Douglas Blvd
Ste 204
Roseville, CA 95661
Phone (916) 772-7190

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1043190317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DOUGLAS BLVD STE 204",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613868",
            "telephone_number": "916-774-8885",
            "fax_number": "916-503-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DOUGLAS BLVD STE 204",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613868",
            "telephone_number": "916-774-8885",
            "fax_number": "916-503-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINN-DAVIS",
        "first_name": "DEBBIE",
        "credential": "MAS, MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.