Active NPI
Pasia-Leigh Rose Daum, RDN
- Registered Dietitian
- Eureka, CA
National Provider Identifier
1114661006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86132556
- Practice address
- 2200 Tydd St
Eureka, CA 95501-1284 - Phone
- (707) 441-1624
- NPI assigned
- Apr 26, 2022
- Last updated
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 86132556 | CA | Primary |
Addresses
Primary practice location
2200 Tydd St
Eureka, CA 95501-1284
Mailing address
1275 8TH St
Arcata, CA 95521-5770
Phone (707) 599-8691
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86132556 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1114661006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 8TH ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955215770",
"telephone_number": "707-599-8691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 TYDD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011284",
"telephone_number": "707-441-1624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUM",
"first_name": "PASIA-LEIGH",
"middle_name": "ROSE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-26",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86132556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.