Kerri S Mulligan, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86030089

Practice address

8080 Madison Ave Ste 200D
Fair Oaks, CA 95628-3736

Phone

(210) 540-3885

NPI assigned

Mar 15, 2018

Last updated

Mar 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kerri S King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1336642339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8842 WINDING WAY APT 446",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286498",
            "telephone_number": "210-540-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MADISON AVE STE 200D",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283736",
            "telephone_number": "210-540-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "KERRI",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86030089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "KING",
            "middle_name": "S",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandie Moreno, CPT
• Kent Morrison, MA, LAADC-R, CADC II
• Blair Vernal Moser II, D.D.S.
• Sai Moua, PHARMD
• Carmelina Mule, PSY. D
• Jazmine Murray
• James Musser, D.D.S.
• Archana D Naidu, DDS
• Hasifa Nakajubi
• Youssef Nakhla, PSYD

• Registered Dietitian in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.