Active NPI
Brittany Kearney, RD
- Registered Dietitian
- Folsom, CA
National Provider Identifier
1104242296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1028458
- Practice address
- 101 Parkshore Dr
# 100
Folsom, CA 95630-4726 - Phone
- (916) 392-2180
- NPI assigned
- Mar 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 1028458 | CA | Primary |
Addresses
Primary practice location
101 Parkshore Dr
# 100
Folsom, CA 95630-4726
Mailing address
101 Parkshore Dr
# 100
Folsom, CA 95630-4726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170411001815 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 0143506899 | Practice locations: Folsom, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1028458 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Organizations & group practices 3
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.
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- San Francisco, CA
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-
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- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1104242296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PARKSHORE DR",
"address_2": "# 100",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARKSHORE DR",
"address_2": "# 100",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304726",
"telephone_number": "916-392-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "BRITTANY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1028458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.