Active NPI
Claire Dean, MPH, RD
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1235733254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86023918
- Practice address
- 4295 Gesner St Ste 3A2
San Diego, CA 92117-6646 - Phone
- (619) 289-8131
- NPI assigned
- Nov 30, 2020
- 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 | 86023918 | TX | Primary |
Addresses
Primary practice location
4295 Gesner St Ste 3A2
San Diego, CA 92117-6646
Mailing address
4295 Gesner St Ste 3A2
San Diego, CA 92117-6646
Phone (619) 289-8131
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Healthie | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 86023918 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SD Nutrition Group | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
4295 Gesner St
Ste 3A2
San Diego, CA 92117
Phone (619) 289-8131
Organizations & group practices 2
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1235733254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4295 GESNER ST STE 3A2",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176646",
"telephone_number": "619-289-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4295 GESNER ST STE 3A2",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176646",
"telephone_number": "619-289-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "CLAIRE",
"name_prefix": "Mrs.",
"credential": "MPH, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "86023918",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Healthie",
"affiliation": "N",
"endpointDescription": "Nutrition EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4295 Gesner St Ste 3A2",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921176646",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.