Individual provider Active NPI

Carol Ann Meme, RD

  • Registered Dietitian
  • Clovis, CA
National Provider Identifier
1053047746
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
645984 Issued in CA
Practice address
755 N Peach Ave Ste A1
Clovis, CA 93611-7248
Phone
(559) 321-7836
Fax
(559) 795-5261
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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 645984 CA Primary

Addresses

Primary practice location

755 N Peach Ave Ste A1
Clovis, CA 93611-7248

Mailing address

755 N Peach Ave Ste A1
Clovis, CA 93611-7248
Phone (559) 321-7836

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116002981 CA Practitioner - Registered Dietitian Or Nutrition Professional 3375071426 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
645984CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Dietetic Services Incorporated Dietitian, Registered CurrentSince Nov 11, 2024 Accepting new patients

Locations

755 N Peach Ave
Ste A1
Clovis, CA 93611
Phone (559) 321-7836

5614 N Fresno St
Ste 118
Fresno, CA 93710
Phone (559) 281-5748

Organizations & group practices 1

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1053047746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N PEACH AVE STE A1",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117248",
            "telephone_number": "559-321-7836",
            "fax_number": "559-795-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N PEACH AVE STE A1",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117248",
            "telephone_number": "559-321-7836",
            "fax_number": "559-795-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEME",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "645984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.