Individual provider Active NPI

Cassandra Rose Christopher, RDN

  • Registered Dietitian
  • Mill Valley, CA
National Provider Identifier
1043860927
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
35 Miller Ave Ste 273
Mill Valley, CA 94941-1903
Phone
(415) 302-3651
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X WA Primary

Addresses

Primary practice location

35 Miller Ave Ste 273
Mill Valley, CA 94941-1903

Mailing address

24030 Firdale Ave
Edmonds, WA 98020-6522
Phone (425) 231-3435

Other practice location 1

24030 Firdale Ave
Edmonds, WA 98020-6522
Phone (425) 231-3435

Other names 1

  • Miss Cassandra Rose Ellis Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1043860927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24030 FIRDALE AVE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980206522",
            "telephone_number": "425-231-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MILLER AVE STE 273",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411903",
            "telephone_number": "415-302-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24030 Firdale Ave",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980206522",
            "country_code": "US",
            "telephone_number": "425-231-3435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "CASSANDRA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "ELLIS",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.