Active NPI
Carolyn C Ullrich, MS, RD, LDN
- Registered Dietitian
- Sacramento, CA
National Provider Identifier
1225323611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164005387
- Practice address
- 2929 K St
Suite 300
Sacramento, CA 95816-5122 - Phone
- (916) 978-0300
- NPI assigned
- Jun 14, 2011
- 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 | 164005387 | IL | Primary |
Addresses
Primary practice location
2929 K St
Suite 300
Sacramento, CA 95816-5122
Mailing address
3201 S St
Apt 462
Sacramento, CA 95816-7078
Phone (847) 894-2451
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164005387 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1225323611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 S ST",
"address_2": "APT 462",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167078",
"telephone_number": "847-894-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 K ST",
"address_2": "SUITE 300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165122",
"telephone_number": "916-978-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLRICH",
"first_name": "CAROLYN",
"middle_name": "C",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164005387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.