Active NPI
Judith Dee Fields
- Registered Dietitian
- Fair Oaks, CA
National Provider Identifier
1164427845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- R302363
- Practice address
- 4125 Temescal St
Ste J
Fair Oaks, CA 95628-7558 - Phone
- (916) 965-4012
- Fax
- (916) 965-1082
- NPI assigned
- Jun 17, 2005
- Last updated
- Mar 25, 2013
- 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 | R302363 | CA | Primary |
Addresses
Primary practice location
4125 Temescal St
Ste J
Fair Oaks, CA 95628-7558
Mailing address
PO Box 2521
Fair Oaks, CA 95628-9521
Phone (916) 965-4012
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R302363 | CA | MD | Registered Dietitian |
| 302363 | CA | MD | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1164427845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2521",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956289521",
"telephone_number": "916-965-4012",
"fax_number": "916-965-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4125 TEMESCAL ST",
"address_2": "STE J",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287558",
"telephone_number": "916-965-4012",
"fax_number": "916-965-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "JUDITH",
"middle_name": "DEE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "R302363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.