Jennifer Holman, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

850539 Issued in CA

Practice address

3100 Douglas Blvd Ste 204
Roseville, CA 95661-3868

Phone

(916) 774-8885

Fax

(916) 774-8818

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sutter North Medical Foundation

  dba Sutter North Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1053954560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 CALVERHALL WAY",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773254",
            "telephone_number": "916-735-6952"
        },
        {
            "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": "916-774-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "JENNIFER",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "850539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudolph J. Holguin, MD
• Sydney Holliman
• Parker Hollingsworth, MD
• Stacey R Holm, D.D.S.
• Steven Duane Holm, D.D.S
• Austin Holmes, MD
• Bobby Doyle Holmes, D.C.
• Gabrielle Holmes
• Allison Holt, NP
• Bruce Monte Holt, DDS

• Registered Dietitian in Roseville, CA
• Providers in Roseville, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.