Active NPI
Nicolle Marie Warner, RDN
- Registered Dietitian
- Thousand Oaks, CA
National Provider Identifier
1306311493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 872755
- Practice address
- 55 Rolling Oaks Dr Ste 100
Thousand Oaks, CA 91361-1010 - Phone
- (805) 499-4446
- Fax
- (805) 230-2133
- NPI assigned
- Oct 4, 2018
- 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 | 872755 | CA | Primary |
Addresses
Primary practice location
55 Rolling Oaks Dr Ste 100
Thousand Oaks, CA 91361-1010
Mailing address
55 Rolling Oaks Dr Ste 100
Thousand Oaks, CA 91361-1010
Phone (805) 499-4446
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872755 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1306311493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 ROLLING OAKS DR STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611010",
"telephone_number": "805-499-4446",
"fax_number": "805-230-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 ROLLING OAKS DR STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611010",
"telephone_number": "805-499-4446",
"fax_number": "805-230-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "NICOLLE",
"middle_name": "MARIE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "872755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.