Fully Nourished Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

FULLY NOURISHED NUTRITION

Practice address

880 Warren Way
Palo Alto, CA 94303-3627

Phone

(650) 387-7141

NPI assigned

Jul 20, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexandra Regalado, RDNNPI 1285142372

Title

Dietitian

Phone

(650) 387-7141

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Regalado, RD, LDN

  • Registered Dietitian
  • Palo Alto, CA
  • NPI 1285142372

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1295460574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 WARREN WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033627",
            "telephone_number": "650-387-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 WARREN WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033627",
            "telephone_number": "650-387-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLY NOURISHED NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "REGALADO",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "650-387-7141",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulanovich and Seid Chiropractic
• Charles J Fulanovich, D.C.
• Jon D Fuller, MD
• Shahla NMN Fuller, RN, MSN, CNS
• Clare Elizabeth Fullerton, MD
• Pauline Funchain, M.D.
• Natasha Funck, M.D.
• Ho Lin Fung, RD
• Lawrence Kwok-Kit Fung, M.D., PH.D.
• Rebecca Sanders Fung, PT, DPT, OCS

• Registered Dietitian in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.