Active NPI
Betty Alice Garrity, MPH, RDN
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1255855599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 17001
- Practice address
- 200 W Arbor Dr # 8801
San Diego, CA 92103-1911 - Phone
- (619) 543-3351
- NPI assigned
- Jul 28, 2017
- 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 | 17001 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr # 8801
San Diego, CA 92103-1911
Mailing address
200 W. Arbor Drive
Mail Code 8801
San Diego, CA 92103
Phone (619) 543-3351
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17001 | Other | CA | COMMISSIONON DIETETIC REGISTRATION |
| 17001 | Medicaid | CA |
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 |
|---|---|---|---|
| 17001 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255855599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W. ARBOR DRIVE",
"address_2": "MAIL CODE 8801",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-543-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR # 8801",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031911",
"telephone_number": "619-543-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRITY",
"first_name": "BETTY",
"middle_name": "ALICE",
"name_prefix": "Ms.",
"credential": "MPH, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "17001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSIONON DIETETIC REGISTRATION",
"identifier": "17001",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17001",
"state": "CA"
}
],
"endpoints": [],
"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 Jul 21, 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.