Individual provider Active NPI

Diana Rachel Wright, MS RD CEDRD-S

  • Registered Dietitian
  • San Marcos, CA
National Provider Identifier
1104424142
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1022633
Practice address
100 E San Marcos Blvd Ste 400
San Marcos, CA 92069-2988
Phone
(520) 360-5737
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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 1022633 Primary

Addresses

Primary practice location

100 E San Marcos Blvd Ste 400
San Marcos, CA 92069-2988

Mailing address

100 E San Marcos Blvd Ste 400
San Marcos, CA 92069-2988
Phone (520) 360-5737

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Life Inspired Center LLC Dietitian, Registered Current Accepting new patients

Locations

100 E San Marcos Blvd
Ste 400
San Marcos, CA 92069
Phone (760) 415-0085

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1104424142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAN MARCOS BLVD STE 400",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692988",
            "telephone_number": "520-360-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAN MARCOS BLVD STE 400",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692988",
            "telephone_number": "520-360-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DIANA",
        "middle_name": "RACHEL",
        "credential": "MS RD CEDRD-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1022633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.