Active NPI
Stefanie Cullingford, RD
- Registered Dietitian
- Riverside, CA
National Provider Identifier
1235490137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1061564
- Practice address
- 3951 Van Buren Blvd
Riverside, CA 92503-3620 - Phone
- (886) 883-0119
- NPI assigned
- Jun 6, 2012
- 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 | 1061564 | CT | Primary |
Addresses
Primary practice location
3951 Van Buren Blvd
Riverside, CA 92503-3620
Mailing address
19193 Hawkhill Ave
Perris, CA 92570-6533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1061564 | Other | CT | COMMISION ON DIETETIC REGISTRATION |
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 |
|---|---|---|---|
| 1061564 | CT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1235490137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19193 HAWKHILL AVE",
"city": "PERRIS",
"state": "CA",
"postal_code": "925706533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3951 VAN BUREN BLVD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033620",
"telephone_number": "886-883-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLINGFORD",
"first_name": "STEFANIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "1061564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISION ON DIETETIC REGISTRATION",
"identifier": "1061564",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.